NPI | 1962572529 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW KEVIN NIELD Dentist 801-525-1415 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 2094) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |