| NPI | 1386969806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN S. WAYMENT Owner 801-782-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 7197367-9924) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |