| NPI | 1376762435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN C. BAUGH Orthodontist 801-253-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 374379-9921) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-26 |