| NPI | 1205014487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALVIN JEPPSON President 435-628-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5262668-9923) |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2008-02-09 |