| NPI | 1972868453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E HARRIS Owner / Dentist 801-399-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6822295) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |