NPI | 1427437144 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD BAILEY Executive Director 801-429-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2015-05-27 |
Last Update Date | 2021-03-25 |