Provo Pediatric Dental
NPI #1184320293 in Provo, Utah
Provider Information
- NPI Number
- 1184320293
- Entity Type
- Organization
- Organization Name
- Provo Pediatric Dental
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 1, 2023
- Last Updated
- Feb 1, 2023
Practice Location
Authorized Official
- Name
- BARBARA MCCOURT
- Title
- OFFICE MANAGER
- Phone
- (435) 637-9590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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