| NPI | 1164869913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WAYNE YOUNG President 801-224-0222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4766943-9922) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2017-03-23 |