| NPI | 1912030776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H GEDDES Dentist 801-394-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 133490) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |