| NPI | 1962210286 |
|---|---|
| Doing Business As | DIXIE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDON HENDERSON Owner 435-688-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |