| NPI | 1861803744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D STUBBS Dentist/Owner 801-390-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 8260809) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |