Nic-Utah County, LLC

NPI #1639790918 in Provo, Utah

Provider Information

NPI Number
1639790918
Entity Type
Organization
Organization Name
Nic-Utah County, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 28, 2020
Last Updated
Aug 3, 2020

Practice Location

Address
2230 N UNIVERSITY PKWY STE 8B
City
Provo
State
Utah
ZIP Code
84604-6700
Phone
(385) 324-7064

Authorized Official

Name
ALEX SWANSON
Title
CEO
Phone
(801) 510-9145

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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