| NPI | 1578974721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK ROOKLIDGE President 801-268-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 5247754) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |