Organization
PDC SANDY
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CHAVEZ DMD (DENTIST)
(801) 590-3266
Entity
Organization
Contact information
Practice address
1844 E 9400 S, SANDY, UT 84093-3000
(801) 590-3266
Mailing address
1844 E 9400 S, SANDY, UT 84093-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3104344-9922
UT
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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