NPI | 1750679577 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JAMES SORENSEN Dentist/Owner 801-798-7545 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 133126) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2011-07-13 |