| NPI | 1225184625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A JENSEN Surgeon 801-492-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 3085413-9923) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-07-15 |