| NPI | 1114219060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MCLACHLAN Owner 801-201-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6836356-9922) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |