| NPI | 1770519522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S DORIUS Owner 435-656-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 4919293) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-06-17 |