PROVIDENCE PDC PLLC

Dentist

Active Organization
NPI: 1598390494

Practice Address

169 N GATEWAY DR
SUITE #105
Providence, UT 84332

Phone: (435) 610-2474

Specialties

Specialty Code Primary License
Dentist 122300000X Yes -

Frequently Asked Questions

NPI 1598390494 is the National Provider Identifier for PROVIDENCE PDC PLLC, a Dentist provider located in Providence, UT. This NPI was enumerated on March 11, 2020.

Quick Facts

NPI
1598390494
Type
Organization
Enumerated
Mar 11, 2020
Last Updated
Mar 11, 2020

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