| NPI | 1083705149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DON KNIGHT Dentist 801-731-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 1439459923) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 1439458903) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-07-27 |