| NPI | 1235234287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY N DOWNING President 801-572-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 142072) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-06-06 |