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 |