NPI | 1669662425 |
---|---|
Doing Business As | WASATCH ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | KYLE S CHRISTENSEN Owner 801-561-8088 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-07-27 |
Last Update Date | 2007-07-27 |