Organization
PDC ALTITUDE
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCE DILLEY (OWNER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
2011 S 1300 E, SALT LAKE CITY, UT 84105-3613
(801) 305-3460
Mailing address
2011 S 1300 E, SALT LAKE CITY, UT 84105-3613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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