| NPI | 1518356575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN YOUNG President 801-352-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 360070) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |