| NPI | 1164837621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT KENDALL CHRISTENSEN Owner 435-688-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 5336153) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |