| NPI | 1982472536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MASSON Owner/Dentist 801-897-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |