| NPI | 1154573129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER ROBERT ALBRECHT Pediatric Dentist 435-586-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |