Provo Dental Care LLC

NPI #1497168975 in Provo, Utah

Provider Information

NPI Number
1497168975
Entity Type
Organization
Organization Name
Provo Dental Care LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 3, 2014
Last Updated
Jun 3, 2014

Practice Location

Address
1355 N UNIVERSITY AVE
Address 2
SUITE 330
City
Provo
State
Utah
ZIP Code
84604-2721
Phone
(801) 874-2451

Authorized Official

Name
STEVE JAMES
Title
CFO
Phone
(502) 254-8504

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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