| NPI | 1528385085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B ELISON President 435-579-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |