| NPI | 1235539073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FRANDSEN President 801-890-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5125133-9921) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2023-07-31 |