| NPI | 1285836684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE HINKSON President 435-232-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: UT 276618) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-07-17 |