| NPI | 1447052303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BROWN Owner 801-808-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-14 |