specializing in dentist in Provo, Utah
NPI: 1396490314
Provider Type
2
Practice Locations
Mailing Location
247 W 2230 N STE 101
PROVO, UT 84604
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:2/17/2022
Last Updated:4/23/2024
Credentials
Primary Credential: