| NPI | 1245023399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FREDERICK TROCKEL Owner 801-319-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2026-07-16 |