NPI | 1992369896 |
---|---|
Doing Business As | UTTERBACK DENTAL GROUP, INC |
Entity Type | Organization |
Authorized Contact | BENJAMIN M UTTERBACK Owner 330-510-2585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-04-25 |
Last Update Date | 2025-01-23 |