specializing in dentist in Provo, Utah

NPI: 1144829946

Provider Type

2

Practice Locations

Mailing Location

589 S STATE ST

PROVO, UT 84606

📞 8018550093

Practice Location

589 S STATE ST

PROVO, UT 84606

📞 8012942013

📠 8014292002

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/22/2020
Last Updated:3/25/2021

Credentials

Primary Credential: