| NPI | 1104271253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILL HUGENTOBLER Owner 435-259-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 275141) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-10-10 |