| NPI | 1902677297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLIN HARRIS Owner 801-842-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |