| NPI | 1396968897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E REBER President 801-943-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4741051-9922) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |