| NPI | 1366711087 |
|---|---|
| Doing Business As | PEDIATRIC SMILES OF OREM |
| Entity Type | Organization |
| Authorized Contact | ADAM NICHOLAS SHEPHERD Owner/Member 1801-224-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 8012319) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |