| NPI | 1265685176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS B LAFEBER Owner Doctor 801-277-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 320562) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |