| NPI | 1891872263 |
|---|---|
| Doing Business As | SANDY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL G. LEWIS Owner 801-572-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 294428-9922) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-24 |