| NPI | 1700192721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW L JONES President 801-942-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 139854) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |