| NPI | 1295953354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT J. BAUGH Orthodontist 801-266-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 140981-9921) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-12-03 |