Laura Provine, DMD
NPI 1912311879 · on the registry since 2014
Practice
- Address
- 3191 S Valley St
Salt Lake City, UT 84109 - Phone
- (801) 463-6657
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah