| NPI | 1346542834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE MARY ALLEN Office Manager 801-317-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6654241-9922) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |