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PROVO PREMIER DENTAL GROUP PLLC

Dentist

NPI: 1396490314Organization

Specialties, Licenses & Credentials

Durable Medical Equipment & Medical Supplies — Customized Equipment

Code: 332BC3200X

DentistPrimary

Dentist

Code: 122300000X

Contact & Hours

Via practice · 2 locations total

Address
777 N 500 W STE 204
PROVO, UT 84601

Quick Facts

NPI
1396490314
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
2

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