institution
Forever Young Dentistry Pllc
Dental Clinic/Center in Provo, Utah
NPI 1508236795

Forever Young Dentistry Pllc is a Dental Clinic/Center based in Provo, UT and is specialized in Dental. Forever Young Dentistry Pllc practices in Provo, UT. The NPI Number for Forever Young Dentistry Pllc is 1508236795 and holds a License No. (Utah).

The current practice location address for Forever Young Dentistry Pllc is 2335 S. State Street, Provo, UT and can be reached out via phone at 801-225-1630 and via fax at 801-225-1630.

Location: 2335 S. State Street, Provo, UT, 84606
institution
Provider Profile Details
NPI Number
1508236795
Provider Name
Forever Young Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
2335 S. State Street, Provo, UT, 84606
Phone Number
801-225-1630
Fax Number
801-225-1630
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
564618729-001 05 UT
institution
Provider Business Practice Location Address Details
Address
2335 S. State Street
City
State
Zip
84606
Phone Number
801-225-1630
Fax Number
801-225-1630
person
Provider Business Mailing Address Details
Address
2335 S. State Street
City
State
Zip
84606
Phone Number
801-225-1630
Fax Number
801-225-1630
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Utah)
Definition
Definition to come...
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