| NPI | 1780004267 |
|---|---|
| Former Legal Business Name | SMALL SMILES PEDIATRIC DENTISTRY P.C. |
| Entity Type | Organization |
| Authorized Contact | KENNETH DOUGLAS FRYER President 435-792-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 285140-9923) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |