| NPI | 1245252188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GEORGE PEARSON Co Owner 801-487-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 136058 & 138326) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2011-08-05 |