| NPI | 1811057284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD K. LIU President Of Corporation 801-553-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 89-144630-9921) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |