| NPI | 1700287257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B HINCKS Doctor 801-479-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 268306) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2016-12-15 |