| NPI | 1730455882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN RICHARD HART Dentist 801-789-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6248077-9922) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 7729107-9921) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |