| NPI | 1457553745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S BETHERS President 435-674-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 5895914-9921) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-01-14 |