| NPI | 1245519750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R TAYLOR Owner 801-966-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 7026989) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |