| NPI | 1922541507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE M EVANS Dental Hygienist 435-680-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: UT 332958-9920) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |