Organization · Type 2 NPI
Nic-Utah County, LLC
Dental Clinic/Center · Provo, UT
NPI number
1639790918
Active
Practice location
2230 N University Pkwy Ste 8B
Provo, UT 84604-6700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1639790918
Nic-Utah County, LLC's National Provider Identifier is 1639790918, issued on Apr 28, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Provo, UT. The record was last updated on Aug 3, 2020.