| NPI | 1851586374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE ROBINSON Treatment/Financial Coordinator 801-254-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: UT 5666702-9921) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |