| NPI | 1962793265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN PAUL EVERSHED Owner 801-358-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008151) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |