PROVO DOWNTOWN DENTAL, LLC

PROVO, UT
NPI1851802813
Entity TypeOrganization
Authorized ContactKIM CASTANEDA
Office Manager
801-373-8791
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
PROVO DOWNTOWN DENTAL, LLC
85 N 500 W
PROVO, UT 84601-2647
Phone number: 801-373-8791
Mailing Address
PROVO DOWNTOWN DENTAL, LLC
85 N 500 W
PROVO, UT 84601-2647
Phone number: 801-373-8791
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