| NPI | 1801925581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY B. CHRISTENSEN President 435-257-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 1441169922) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-05-28 |