| NPI | 1811975295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONG K NOH President 801-254-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 3599589922) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2008-05-08 |