| NPI | 1487910147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C FOLKMAN Owner/Principal 801-710-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 8224117-9923) |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2012-04-07 |