| NPI | 1124335468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W. YATES PT R 801-943-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 128081-9921) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |