| NPI | 1699317685 |
|---|---|
| Doing Business As | PLATINUM DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JACOB WARNER Credentialing Manager 385-279-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |