| NPI | 1881935906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOUD NOOT Co Owner 801-692-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 313143-9923) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2014-07-08 |