FOREVER YOUNG DENTISTRY PLLC

PROVO, UT
NPI1508236795
Entity TypeOrganization
Authorized ContactREYNA M MADRILES
Co Owner
801-225-1630
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
FOREVER YOUNG DENTISTRY PLLC
2335 S. STATE STREET STE #200
PROVO, UT 84606
Phone number: 801-225-1630
Mailing Address
FOREVER YOUNG DENTISTRY PLLC
2335 S. STATE STREET STE #200
PROVO, UT 84606
Phone number: 801-225-1630
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