| NPI | 1184096026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BRIAN ABRAMS Dentist 435-789-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4920693-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 6221913-9922) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |