| NPI | 1821828351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM MCKAY Orthodontist 801-935-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |