| NPI | 1578863734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER LUKE Dentist/President 801-596-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6321727) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |