| NPI | 1821273673 |
|---|---|
| Former Legal Business Name | STEPHEN D HASLAM, DDS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN DEATON HASLAM Owner/Manager 801-262-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 143673-9923) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |