| NPI | 1306166269 |
|---|---|
| Former Legal Business Name | ASPEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT M BAIRD Owner 801-491-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6466262-9922) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2011-04-18 |