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1639790918
NIC-UTAH COUNTY, LLC
PROVO, UT
NPI
1639790918
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Entity Type
Organization
Authorized Contact
ALEX SWANSON
CEO
801-510-9145
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-04-28
Last Update Date
2020-08-03
Business Address
NIC-UTAH COUNTY, LLC
2230 N UNIVERSITY PKWY STE 8B
PROVO, UT 84604-6700
Phone number: 385-324-7064
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Mailing Address
NIC-UTAH COUNTY, LLC
2230 N UNIVERSITY PKWY STE 8B
PROVO, UT 84604-6700
Phone number:
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