| NPI | 1013069848 |
|---|---|
| Other Name | OMIC |
| Entity Type | Organization |
| Authorized Contact | DUANE R. PERRY President 801-942-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: UT 39396) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |