| NPI | 1689012262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY DAVID ADAMS Practice Owner 801-756-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 7827411-9921) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |