| NPI | 1952674483 |
|---|---|
| Doing Business As | TOTAL CARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JORGENSEN President 801-492-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |