| NPI | 1184018673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MULVIHILL Chief Medical Officer 801-587-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |