Paul Austin Nielsen, D.D.S Valid NPI

Individual provider · General Practice Dentistry · Provo, UT

NPI

1275674004

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

343166-9922 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-12

Last updated

2007-07-08