| NPI | 1992119390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON C. ALLEN Owner 435-787-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 5854224) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2018-02-19 |