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 |