| NPI | 1497850309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE C JEPPSON President 801-356-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 2946929922) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-08-11 |