| NPI | 1194940676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID R SWENSON Owner 801-766-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 368918-9921) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |