Genesis Dental of Provo
NPI #1629581871 in Provo, Utah
Provider Information
- NPI Number
- 1629581871
- Entity Type
- Organization
- Organization Name
- Genesis Dental of Provo
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 9, 2017
- Last Updated
- Nov 9, 2017
Practice Location
Authorized Official
- Name
- JASON D CASTO
- Title
- OWNER/MEMBER
- Phone
- (801) 870-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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