Individual
DR. PAUL AUSTIN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1355 N UNIVERSITY AVE, SUITE 330, PROVO, UT 84604-2721
(801) 373-3150
(801) 370-4071
Mailing address
1355 N UNIVERSITY AVE, SUITE 330, PROVO, UT 84604-2721
(801) 373-3150
(801) 370-4071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
144504-9922
UT
1223G0001X
General Practice Dentistry
Primary
343166-9922
UT
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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