Utah Oral Surgery & Dental Implant Center Valid NPI

Organization · Oral & Maxillofacial Surgery (D.M.D.) · Salt Lake City, UT

NPI

1275899809

Type

Organization (Type 2)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

6216924-9924 (UT)

Enumerated

2012-04-09

Last updated

2012-04-09