| NPI | 1720379555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ADAM ALBRECHTSEN Orthodontist 801-479-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 328324-992) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |