| NPI | 1316325160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY TUTTLE TAYLOR Dentist 801-792-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT DENDENLIC9550) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |