Provo Downtown Dental, LLC
NPI #1851802813 in Provo, Utah
Provider Information
- NPI Number
- 1851802813
- Entity Type
- Organization
- Organization Name
- Provo Downtown Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 18, 2017
- Last Updated
- Oct 18, 2017
Practice Location
Authorized Official
- Name
- MISS KIM CASTANEDA
- Title
- OFFICE MANAGER
- Phone
- (801) 373-8791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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