| Snowcap Smile Studio Llc | |
|
2230 N. University Pkwy Ste 8b Provo UT 84604 | |
| (801) 610-7633 | |
| (801) 601-8570 |
| Full Name | Snowcap Smile Studio Llc |
|---|---|
| Speciality | Dentist |
| Location | 2230 N. University Pkwy Ste 8b, Provo, Utah |
| Authorized Official Name and Position | Jonas Rodrigues (MEMBER) |
| Authorized Official Contact | 8016107633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snowcap Smile Studio Llc 2230 N. University Pkwy Ste 8b Provo UT 84604 Ph: (801) 610-7633 | Snowcap Smile Studio Llc 2230 N. University Pkwy Ste 8b Provo UT 84604 Ph: (801) 610-7633 |
| NPI Number | 1093203044 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093203044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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