| NPI | 1912035163 |
|---|---|
| Doing Business As | OUT OF THIS WORLD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARRIE LOUISE CAMPBELL Business Manager 801-571-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 144937-9923) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |