| NPI | 1578748190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L DEDECKER Oral And Maxillofacial Surgeon 801-773-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 135665 9924) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-06-15 |