| NPI | 1730341215 |
|---|---|
| Other Name | U&O - DENTAL |
| Entity Type | Organization |
| Authorized Contact | DELBERT GARY MARTIN Chief Pharmacist 435-725-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-04-04 |