| NPI | 1346543261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DALE GREENWOOD Dentist/Owner 801-766-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5158561-922) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |