| NPI | 1861637308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT GRONEMAN Endodontist 801-272-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 145399923) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: UT 0144898992) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |