| NPI | 1003145947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KENT SCOVILLE Owner 801-737-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 141091) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |