| NPI | 1477284172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MACFARLANE Owner 801-930-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-07-20 |