Blue Mountain Family Dental

NPI #1003206350 in Provo, Utah

Provider Information

NPI Number: 1003206350
Entity Type: Organization
Organization Name: Blue Mountain Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2015
Last Updated: Jan 26, 2015

Practice Location

Address: 1675 N 200 W #8A
City: Provo
State: Utah
ZIP Code: 84604
Phone: (801) 356-7329

Authorized Official

Name: DR. JUSTIN TODD HILMO, D.D.S
Title: GENERAL DENTIST
Phone: (801) 356-7329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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