| NPI | 1417220070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S DORIUS Part Owner 435-656-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4919293-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 1380569922) |
| 1223G0001X Dentist, General Practice (Licence: UT 341178-9922) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-14 |