| 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 |