Organization · Type 2 NPI

Provo Downtown Dental, LLC

Dental Clinic/Center · Provo, UT

NPI number 1851802813 Active

Practice location

85 N 500 W
Provo, UT 84601-2647

Call (801) 373-8791 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1851802813

Provo Downtown Dental, LLC's National Provider Identifier is 1851802813, issued on Oct 18, 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 Oct 18, 2017.