| NPI | 1467744029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BRIAN ABRAMS President 801-562-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4920693) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |