| 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 |