| NPI | 1245649409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HOGGE President 435-752-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 140968-9922) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |