| NPI | 1922378926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUCE BARNES President 801-487-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |