| NPI | 1598087603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL E. LIND Owner 801-262-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 1328489924) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |