| NPI | 1750853438 |
|---|---|
| Doing Business As | BURG CHILDREN'S DENTISTRY & ORTHODONTICS |
| Doing Business As | BURG CHILDREN'S DENTISTRY & ORTHODONTICS- DAYBREAK |
| Entity Type | Organization |
| Authorized Contact | MARCI NICOL COO 801-918-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |