Individual
DIANE R DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
509 E 4190 N, PROVO, UT 84604-5156
(801) 882-5451
Mailing address
509 E 4190 N, PROVO, UT 84604-5156
(801) 882-5451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142002409926
UT
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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