| NPI | 1619354271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ODION Doctor/Owner 801-281-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 260205-9923) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2023-10-27 |