| NPI | 1871373068 |
|---|---|
| Doing Business As | PRESIDENTIAL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW WALKER Vice President 801-550-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-06 |