| NPI | 1477696235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAESAR R. HEARNE Dentist 801-728-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 358446-9923) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |