| NPI | 1669842647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALCORN Manager/Dentist 801-255-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5329882) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |