| NPI | 1992369896 |
|---|---|
| Doing Business As | UTTERBACK DENTAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M UTTERBACK Owner 330-821-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-05-29 |