PDC PROVO LLC
Dentist
Active
Organization
NPI: 1396893012
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 3192 (UT) |
| Dentist | 122300000X | Yes | 6026130 (UT) |
Frequently Asked Questions
NPI 1396893012 is the National Provider Identifier for PDC PROVO LLC, a Dentist provider located in Provo, UT. This NPI was enumerated on January 8, 2007.
Quick Facts
- NPI
- 1396893012
- Type
- Organization
- Enumerated
- Jan 8, 2007
- Last Updated
- Jan 4, 2013
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