| NPI | 1972825685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN E SMITH President 801-756-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 5602607-9923) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |