NPI | 1740023779 |
---|---|
Doing Business As | PLANET TOOTH PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LELAND VERNON POWELL Dentist/Owner 801-974-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-26 |