| NPI | 1982155909 |
|---|---|
| Doing Business As | COUGAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD C GROESBECK Dentist 801-373-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 8372408-9922) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |