| NPI | 1457606188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S PALMER President 801-721-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 72615429922) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |