NPI | 1417022252 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY SCOTT MORRISON Owner/Dentist 801-225-2640 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 53454829922) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2012-10-29 |