| NPI | 1073727996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S JOHNSON Owner 801-943-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 374991992) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |