NPI 1003206350
Blue Mountain Family Dental
Practice location
- Address
- 1675 N 200 W #8a, Provo, UT 84604
- Phone
- (801) 356-7329
Authorised official
- Name
- Justin Todd Hilmo
- Title
- General Dentist
- Phone
- (801) 356-7329
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003206350
- Entity type
- Organization
- NPI issued
- 26 Jan 2015
- Record last updated
- 26 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.