| NPI | 1568612539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS B LAFEBER Owner 801-566-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 320562) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |