| NPI | 1205340163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRAZIER Founder 801-577-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |