| NPI | 1023670569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON T. WARD Dentist 801-621-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |