Organization
SLC PDC PLLC
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WARNER (CREDENTIALING MANAGER)
(801) 691-1701
Entity
Organization
Contact information
Practice address
1963 S 1200 E, STE 103, SALT LAKE CITY, UT 84105-3523
(801) 466-1212
(801) 466-1919
Mailing address
PO BOX 970687, OREM, UT 84097-0687
(801) 691-1701
(801) 335-6551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
07/02/2021
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