| NPI | 1639474463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR I LOSEE Dentist/Owner 801-766-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 139721-9922) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |