| NPI | 1801916309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARLEY JACK FELLER Owner And Orthodontist 801-466-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 138264-9921) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |