| NPI | 1487946331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY VERNAL BROWN Dentist 801-768-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 142464-9922) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |