| NPI | 1003768847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER WOOD Doctor/Owner 801-660-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-02-12 |