| NPI | 1922120161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL JED DANSIE Doctor 801-465-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 973410329922) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |