BLUE MOUNTAIN FAMILY DENTAL NPI 1003206350

NPI Information

BLUE MOUNTAIN FAMILY DENTAL is a general practice dentist in Provo, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BLUE MOUNTAIN FAMILY DENTAL NPI is 1003206350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1675 N 200 W #8A
PROVO, UT
ZIP 84604
Phone: (801) 356-7329

The provider's authorized official is Justin Todd Hilmo .
The authorized official title is General Dentist and has the following contact phone number (801) 356-7329.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

Taxonomy Codes

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