| NPI | 1861382822 |
|---|---|
| Doing Business As | BOSQUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RAFAEL RASCON Dentist 801-949-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-18 |