| NPI | 1952443772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON JUDD WEST Owner 801-627-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 1359419922) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |