| NPI | 1689186272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDON BRET ROCKWELL Owner/Doctor 435-882-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |