| NPI | 1992253991 |
|---|---|
| Other Name | KIDS TOWN PEDIATRIC DENTISTRY ROY |
| Entity Type | Organization |
| Authorized Contact | AIMEE ORTON Financial Manager 801-217-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 6348475) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-20 |