| NPI | 1023320728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART D SEGURA Partner 801-769-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 7108173) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |