| NPI | 1275916777 |
|---|---|
| Doing Business As | ST.GEORGE CENTER FOR SPECIALIZED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RODNEY L ANDRUS Owner 435-674-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: UT 4748653) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |