| NPI | 1932332798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN HEIMER Doctor 801-277-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2019-06-13 |