| NPI | 1609701358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GARFIELD Operations Manager 435-452-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |