Organization · Type 2 NPI

Provo Dental Care LLC

Dental Clinic/Center · Provo, UT

NPI number 1497168975 Active

Practice location

1355 N University Ave, Suite 330
Provo, UT 84604-2721

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

27 other providers at this address

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About NPI 1497168975

Provo Dental Care LLC's National Provider Identifier is 1497168975, issued on Jun 3, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Provo, UT. The record was last updated on Jun 3, 2014.