| NPI | 1215482922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MAIO Dentist/CEO 801-566-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 5925457) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |