| NPI | 1720183585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E KASE PEERY President 801-561-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5999717) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |