NPI | 1659465086 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN F MCIFF Owner 801-785-0083 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 3660479922) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-09-25 |