| NPI | 1225887052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DAVIS Orthodontist 801-831-8629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |