Organization
ST. GEORGE PDC PLLC
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS CHAVEZ DMD (OWNER)
(435) 628-8885
Entity
Organization
Contact information
Practice address
1150 S BLUFF ST STE 1, ST GEORGE, UT 84770-5236
(435) 628-8885
(435) 656-3008
Mailing address
PO BOX 970895, OREM, UT 84097-0309
(801) 350-3460
(801) 335-6551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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