| NPI | 1316234032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ENGLAND SMITH Member 801-756-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: UT 5602607-9923) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: UT 7689762-9923) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |