Organization · Type 2 NPI

Genesis Dental of Provo

Dental Clinic/Center · Provo, UT

NPI number 1629581871 Active

Practice location

2255 N University Pkwy Ste 39
Provo, UT 84604-1503

Call (801) 319-6743 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1629581871

Genesis Dental of Provo's National Provider Identifier is 1629581871, issued on Nov 9, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Provo, UT. The record was last updated on Nov 9, 2017.