| NPI | 1306506167 |
|---|---|
| Doing Business As | WASATCH ORTHODONTICS AND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JACOB WARNER Credentialing Manager 801-691-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |