| NPI | 1821521485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL B BAILEY Owner 801-417-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 7693653) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |