NPI | 1326335092 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER C KNUDSON Owner 435-723-6366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2011-07-01 |
Last Update Date | 2011-07-01 |