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 |