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Organization

JUAN C. CHAVEZ, D.M.D., P.L.L.C

Active
Other names
Platinum Dental Care - Provo
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JESSIE L KITCHEN (INSURANCE COORDINATOR)
(801) 305-3460
Entity
Organization

Contact information

Practice address
2520 N UNIVERSITY AVE STE 101, PROVO, UT 84604-6081
(801) 426-6255
Mailing address
2520 N UNIVERSITY AVE STE 101, PROVO, UT 84604-6081
(801) 426-6255

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3104344
UT

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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