| NPI | 1811269756 |
|---|---|
| Doing Business As | ATLANTIS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CATHILYN SELF Insurance COO Rdinator 801-614-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: UT 4921068) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2016-01-04 |