GENESIS DENTAL OF PROVO is a dental clinic center in Provo, UT. GENESIS DENTAL OF PROVO NPI is 1629581871. The provider is registered as an organization entity type.
The provider's business location address is:
2255 N UNIVERSITY PKWY STE 39
PROVO, UT
ZIP 84604-503
Phone: (801) 319-6743
The provider's authorized official is Jason D Casto .
The authorized official title is Owner/member and has the following contact phone number (801) 870-0625.
The enumeration date for this NPI number is 11/9/2017 and was last updated on 11/9/2017.