NPI: 1619175197 · WEST VALLEY CITY, UT 84120 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/06/2007
| Authorized Official | CONWAY, BRION (MANAGING MEMBER) |
| NPI Enumeration Date | 07/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $2K |
| 2022 | 13 | $773.77 |
| 2023 | 42 | $2K |