| NPI | 1821220104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY MCGARRY Owner 801-978-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 7020797-9922) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |