ADC PROVO LLC

NPI: 1558212936 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

247 W 2230 N STE 101
PROVO, UT 84604-7582 Map ↗
Phone: 801-375-1414

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice

NPI Registration

Enumerated: 2026-02-03

Last CMS Update: 2026-02-03