| NPI | 1124438916 | 
|---|---|
| Doing Business As | PLATINUM DENTAL CARE | 
| Entity Type | Organization | 
| Authorized Contact | JACOB WARNER Credentialing Manager 801-691-1701  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2014-05-01 | 
| Last Update Date | 2021-07-02 |