| NPI | 1992014435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C DAVIS Owner 801-798-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 145709) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |