| NPI | 1083158257 |
|---|---|
| Doing Business As | SCHOOL OF DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EDWARD H CLARK Department Chair 801-587-6636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 207QS1201X Family Medicine, Sleep Medicine | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-04-08 |