| NPI | 1235323932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A MACKLEY Managing Doctor 801-782-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 144024) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |