| NPI | 1891237640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD VAIFANUA Human Resources 435-986-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: UT 9818312-9920) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |