| NPI | 1144581307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F MCCONNELL Owner 435-882-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 369873) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |