NPI | 1538513700 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH MAIO Dentist/CEO 801-566-8833 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: UT 5925457) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2016-04-14 |