DR. LAURA PROVINE, DMD

Dentist

Active Individual
NPI: 1912311879

Practice Address

3191 S VALLEY ST
Salt Lake City, UT 84109

Phone: (801) 463-6657

Specialties

Specialty Code Primary License
Dentist 122300000X No 9070494-8903 (UT)

Frequently Asked Questions

NPI 1912311879 is the National Provider Identifier for DR. LAURA PROVINE, DMD, a Dentist provider located in Salt Lake City, UT. This NPI was enumerated on June 18, 2014.
DR. LAURA PROVINE, DMD practices at 3191 S VALLEY ST, Salt Lake City, UT 84109.

Quick Facts

NPI
1912311879
Type
Individual
Enumerated
Jun 18, 2014
Last Updated
Jun 18, 2014

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