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1184320293
PROVO PEDIATRIC DENTAL
PROVO, UT
NPI
1184320293
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Entity Type
Organization
Authorized Contact
BARBARA MCCOURT
Office Manager
435-637-9590
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
PROVO PEDIATRIC DENTAL
745 N 500 W
PROVO, UT 84601-1472
Phone number: 801-373-4200
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Mailing Address
PROVO PEDIATRIC DENTAL
391 N 400 E
PRICE, UT 84501-2537
Phone number: 435-637-9590
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