| NPI | 1457635088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL MORRILL Office Manager 801-489-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 370600-9921) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |