| NPI | 1629436951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOESER Dentist 801-573-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5898704-9921) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 4746306-9922) |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |