| NPI | 1831541341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A MACKLEY Owner 801-786-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 144024-9922) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |