| NPI | 1700490992 |
|---|---|
| Doing Business As | PLATINUM DENTAL AZ |
| Entity Type | Organization |
| Authorized Contact | GARY M GWILT Owner 623-271-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |