| NPI | 1407613342 |
|---|---|
| Doing Business As | UTAH ORTHOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE E VIAL Director Of Cred And Pr 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |