Organization
DAYBREAK PDC PLLC
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WARNER (CREDENTIALING MANAGER)
(385) 279-4334
Entity
Organization
Contact information
Practice address
4040 WEST DAYBREAK PKWY, SUITE 103, SOUTH JORDAN, UT 84009-1286
(385) 279-4334
(385) 212-3268
Mailing address
PO BOX 970325, OREM, UT 84097-0309
(801) 305-3460
(801) 335-6551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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