NPI | 1144597691 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER S READING Member Of P LLC 801-842-9769 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 8119870162) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2011-11-29 |