NPI | 1962843698 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY STEVEN SPERRY Owner 801-484-8893 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6649059) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2013-07-10 |