| NPI | 1306058052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RAYMOND STEIN Managing Member 801-268-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 321944-9922) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |