| Provo Pdc Pllc | |
|
2255 N University Pkwy Ste 39 Provo UT 84604-1503 | |
| (801) 426-6255 | |
| (801) 734-3714 |
| Full Name | Provo Pdc Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2255 N University Pkwy Ste 39, Provo, Utah |
| Authorized Official Name and Position | Juan Chavez (OWNER) |
| Authorized Official Contact | 8016911701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provo Pdc Pllc Po Box 970176 Orem UT 84097-0119 Ph: () - | Provo Pdc Pllc 2255 N University Pkwy Ste 39 Provo UT 84604-1503 Ph: (801) 426-6255 |
| NPI Number | 1467135822 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467135822 | NPI | - | NPPES |
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