PROVO PDC PLLC

PROVO, UT
NPI1467135822
Doing Business AsPLATINUM DENTAL CARE
Entity TypeOrganization
Authorized ContactJUAN CHAVEZ
Owner
801-691-1701
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223P0300X Dentist, Periodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
222Z00000X Orthotist
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
PROVO PDC PLLC
2255 N UNIVERSITY PKWY STE 39
PROVO, UT 84604-1503
Phone number: 801-426-6255
Mailing Address
PROVO PDC PLLC
PO BOX 970176
OREM, UT 84097-0119
Phone number: