NPI | 1982070579 |
---|---|
Doing Business As | PREMIER DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DEVIN DAVIDSON Director 801-964-6850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 8644531-9922) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |