| NPI | 1104969062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C BURTON Owner 801-224-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 376241-9924) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-08-06 |