specializing in dentist in Provo, Utah

NPI: 1194893388

Provider Type

2

Practice Locations

Mailing Location

777 N 500 W

SUITE 201 B

PROVO, UT 84601

📞 8013745200

📠 8013752464

Practice Location

777 N 500 W

SUITE 201 B

PROVO, UT 84601

📞 8013745200

📠 8013752464

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/4/2006
Last Updated:8/22/2020

Credentials

Primary Credential:
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