| NPI | 1558672758 |
|---|---|
| Other Name | JARED W. HEMMERT |
| Entity Type | Organization |
| Authorized Contact | AVERY LYNN BRERETON Office Manager 801-794-9684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 5346167) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 6947302) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |