| NPI | 1376656017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY JONATHAN THORNELL Doctor 801-446-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 53235209922) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-05-04 |