| NPI | 1740407709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CHARLES ZIMMERMANN President 801-260-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 136792-9922) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |