| NPI | 1285944314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON S GOLDBERG President 801-487-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 142749) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2012-02-21 |