| NPI | 1508014127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E PAULOS President 801-262-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 132585) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |