| NPI | 1043615156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDD E PARTRIDGE Owner 801-943-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 6226963) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |