| NPI | 1932272945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEVEN ROCKWELL Owner 435-882-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 1223G0001X) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-04-14 |