| NPI | 1982812020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JESS FERRE Dentist 801-942-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 1617C) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-09 |