| NPI | 1275722357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HARRIS Oral/Maxillofacial Surgeon 801-356-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: UT 39634) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-23 |