| NPI | 1063957850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE WIND Office Manager 801-226-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5328215) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 9033355) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |