Individual
MR. MYLES A PREBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3311 N. UNIVERSITY AVE, SUITE 150, PROVO, UT 84604
(801) 655-1801
(801) 590-0504
Mailing address
3311 N. UNIVERSITY AVE, SUITE 150, PROVO, UT 84604
(801) 655-1801
(801) 590-0504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
141752
UT
1223G0001X
General Practice Dentistry
141752
UT
Other
Enumeration date
02/19/2007
Last updated
12/30/2013
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