| NPI | 1285086355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W MORRISON Owner 801-278-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 22041309922) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |