NPI | 1912243247 |
---|---|
Doing Business As | CLINTON DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ERIC JOHN SWENSEN Owner/Dds 801-728-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2012-12-13 |
Last Update Date | 2013-12-31 |