| NPI | 1225331143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MAX GREENWOOD Dentist/Owner 801-756-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 136489) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |