| NPI | 1750836839 |
|---|---|
| Doing Business As | FOREVER YOUNG DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD PAUL LEE Dentist/Owner 435-893-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 322871-9923) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |