| NPI | 1487963278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VAUGHN ERICKSON Dentist 801-280-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 357970) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |