| NPI | 1487075107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M CHANDLER President 801-465-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 7526337-9922) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |