NPI | 1811764939 |
---|---|
Doing Business As | MILLBROOK DENTAL |
Entity Type | Organization |
Authorized Contact | DALLIS JACOB ZURCHER Managing Member 801-550-5013 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-12-08 |
Last Update Date | 2024-05-30 |