PROVO PEDIATRIC DENTAL

PROVO, UT
NPI1184320293
Entity TypeOrganization
Authorized ContactBARBARA MCCOURT
Office Manager
435-637-9590
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
Enumeration Date2023-02-01
Last Update Date2023-02-01
Business Address
PROVO PEDIATRIC DENTAL
745 N 500 W
PROVO, UT 84601-1472
Phone number: 801-373-4200
Mailing Address
PROVO PEDIATRIC DENTAL
391 N 400 E
PRICE, UT 84501-2537
Phone number: 435-637-9590
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