NPI | 1689930117 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN WILLIAM PRATT Owner 801-489-4541 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 7652072-9922) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-04-10 |