DR. LARRY BRAITHWAITE, DDS

Dentist

Active Individual
NPI: 1265549810

Practice Address

1675 NORTH 200 WEST
BLDG 12A
Provo, UT 84604

Phone: (801) 375-4600

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 317547 (UT)

Frequently Asked Questions

NPI 1265549810 is the National Provider Identifier for DR. LARRY BRAITHWAITE, DDS, a Dentist provider located in Provo, UT. This NPI was enumerated on August 23, 2006.
DR. LARRY BRAITHWAITE, DDS practices at 1675 NORTH 200 WEST, BLDG 12A, Provo, UT 84604.

Quick Facts

NPI
1265549810
Type
Individual
Enumerated
Aug 23, 2006
Last Updated
Jul 8, 2007

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