Organization
PDC MAPLETON LLC
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TAELOR JEPPSON (INSURANCE COORDINATOR)
(801) 305-3460
Entity
Organization
Contact information
Practice address
744 S 1600 W, MAPLETON, UT 84664
(801) 396-2944
(801) 692-9083
Mailing address
744 S 1600 W, MAPLETON, UT 84664
(801) 396-2944
(801) 692-9083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7366264-9922
UT
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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