PDC PROVO LLC

Dentist

NPI: 1396893012Organization

Specialties, Licenses & Credentials

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

3192(UT)

DentistPrimary

Dentist

Code: 122300000X

6026130(UT)

Contact & Hours

Address: 2520 N UNIV AVE, SUITE 101
PROVO, UT 84604
Phone: (801) 426-6255

Quick Facts

NPI: 1396893012
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

Are you this provider?

Claim Your Profile