| NPI | 1649897083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HUNTSMAN SVP Manufacturing And Technology 801-742-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |