| NPI | 1811109713 |
|---|---|
| Other Name | DAMON P SWENSON |
| Entity Type | Organization |
| Authorized Contact | DAMON P SWENSON Dentist President 801-224-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 373620) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |