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 |