| NPI | 1326299215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE CROWTON Dentist 801-479-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4937536) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |