| 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 |