| NPI | 1003206350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN TODD HILMO General Dentist 801-356-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 7369645) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |