SOUTH PROVO PDC PLLC

Dental Clinic/Center

NPI: 1538946207Organization

Specialties, Licenses & Credentials

Dental Clinic/CenterPrimary

Clinic/Center — Dental

Code: 261QD0000X

Contact & Hours

Address: 2211 E VALLEY VISTA WAY
PROVO, UT 84606
Phone: (385) 412-6964

Quick Facts

NPI: 1538946207
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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