PROVO DOWNTOWN DENTAL LLC NPI 1851802813

NPI Information

PROVO DOWNTOWN DENTAL, LLC is a dental clinic center in Provo, UT. PROVO DOWNTOWN DENTAL, LLC NPI is 1851802813. The provider is registered as an organization entity type.
The provider Is Doing Business As Provo Downtown Dental.

The provider's business location address is:

85 N 500 W
PROVO, UT
ZIP 84601-647
Phone: (801) 373-8791

The provider's authorized official is Kim Castaneda .
The authorized official title is Office Manager and has the following contact phone number (801) 373-8791.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 10/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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