| NPI | 1679955017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J DURANT Collection Manager 801-265-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 7835316) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-23 |