| NPI | 1346667243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY RICHARDS Owneer 801-731-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 8718587-9921) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |