institution
South Provo Pdc Pllc
Dental Clinic/Center in Provo, Utah
NPI 1538946207

South Provo Pdc Pllc is a Dental Clinic/Center based in Orem, UT and is specialized in Dental. South Provo Pdc Pllc practices in Provo, UT. The NPI Number for South Provo Pdc Pllc is 1538946207 and holds a License No. (Utah).

The current practice location address for South Provo Pdc Pllc is 2211 E Valley Vista Way, Provo, UT and can be reached out via phone at 385-412-6964 and via fax at 385-248-5034. You can also correspond with South Provo Pdc Pllc through the mailing address at PO BOX 970185, OREM, UT - 84097-0185 (mailing address contact number: 801-691-1701).

Location: 2211 E Valley Vista Way, Provo, UT, 84097-0185
institution
Provider Profile Details
NPI Number
1538946207
Provider Name
South Provo Pdc Pllc
Credential
Provider Entity Type
Organization
Address
2211 E Valley Vista Way, Provo, UT, 84097-0185
Phone Number
385-412-6964
Fax Number
385-248-5034
Provider Enumeration Date
09/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2211 E Valley Vista Way
City
State
Zip
84606-5636
Phone Number
385-412-6964
Fax Number
385-248-5034
person
Provider Business Mailing Address Details
Address
2211 E Valley Vista Way
City
State
Zip
84606-5636
Phone Number
385-412-6964
Fax Number
385-248-5034
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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