| NPI | 1538301114 |
|---|---|
| Former Legal Business Name | ASPEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT M BAIRD Dr 801-465-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6466262) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-04-18 |