| NPI | 1477649697 |
|---|---|
| Doing Business As | BACK OF THE WASATCH FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REED D LOBROT Pres 435-654-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 373732-9922) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-03-19 |