| NPI | 1841568243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE RASMUSSEN Owner 801-479-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 276306) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |