| NPI | 1215403456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY FOUST President 801-718-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 152W00000X Optometrist |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-06-14 |