| NPI | 1518209659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GALEN CAMPBELL Owner 801-278-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 373764-9923) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |