Organization
SNOWCAP SMILE STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAS RODRIGUES (MEMBER)
(801) 610-7633
Entity
Organization
Contact information
Practice address
2230 N. UNIVERSITY PKWY STE 8B, PROVO, UT 84604
(801) 610-7633
(801) 601-8570
Mailing address
2230 N. UNIVERSITY PKWY STE 8B, PROVO, UT 84604
(801) 610-7633
(801) 601-8570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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