| NPI | 1184980005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN GRANT ADAMS Co Owner, Surgeon 801-262-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: UT 7961990-1205) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |