| NPI | 1154737427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HENRY BEKKER Dentist 801-571-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 142542) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 8320347) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |