| NPI | 1790994465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NATHAN JONES Owner 801-375-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 5685033) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |