institution
Provo Family Dentistry, Llc
Dental Clinic/Center in Provo, Utah
NPI 1063923258

Provo Family Dentistry, Llc is a Dental Clinic/Center based in Provo, UT and is specialized in Dental. Provo Family Dentistry, Llc practices in Provo, UT. The NPI Number for Provo Family Dentistry, Llc is 1063923258 and holds a License No. 275985-9922 (Utah).

The current practice location address for Provo Family Dentistry, Llc is 1355 N University Ave Ste 310, Provo, UT and can be reached out via phone at 801-373-2693.

Location: 1355 N University Ave Ste 310, Provo, UT, 84604-2721
institution
Provider Profile Details
NPI Number
1063923258
Provider Name
Provo Family Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
1355 N University Ave Ste 310, Provo, UT, 84604-2721
Phone Number
801-373-2693
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1355 N University Ave Ste 310
City
State
Zip
84604-2721
Phone Number
801-373-2693
Fax Number
person
Provider Business Mailing Address Details
Address
1355 N University Ave Ste 310
City
State
Zip
84604-2721
Phone Number
801-373-2693
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
275985-9922 (Utah)
Definition
Definition to come...
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