| 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 |