| NPI | 1083739858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. ROBERTS President 801-566-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 1438779922) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |