| NPI | 1932522208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY S ANDERSON Office Manager 801-852-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 7403598-9922) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |