PROVO DENTAL CARE LLC

PROVO, UT
NPI1497168975
Entity TypeOrganization
Authorized ContactSTEVE JAMES
CFO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2014-06-03
Last Update Date2014-06-03
Business Address
PROVO DENTAL CARE LLC
1355 N UNIVERSITY AVE SUITE 330
PROVO, UT 84604-2721
Phone number: 801-874-2451
Mailing Address
PROVO DENTAL CARE LLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-254-8501
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