| NPI | 1760941124 |
|---|---|
| Doing Business As | PLATINUM FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRAD NELSON Owner 405-260-6080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2024-02-05 |