| NPI | 1851937270 |
|---|---|
| Doing Business As | SALT LAKE SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | RANDY BARNHISEL Owner 801-262-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |