NPI | 1770905234 |
---|---|
Other Name | ORTHODONTIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KIRK H ALLRED Orthodontist 801-393-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: UT 141076-9921) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2014-01-17 |