| NPI | 1568612133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL G RUDD Presidient 801-487-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 5328713-9922) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |