| Gantzel Dental Center | |
|
36327 N Gantzel Rd Ste 104 San Tan Valley AZ 85140-7328 | |
| (480) 818-3177 | |
| Not Available |
| Full Name | Gantzel Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 36327 N Gantzel Rd Ste 104, San Tan Valley, Arizona |
| Authorized Official Name and Position | Charles Wesley Culler (DENTIST) |
| Authorized Official Contact | 4808183177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gantzel Dental Center 36327 N Gantzel Rd Ste 104 San Tan Valley AZ 85140-7328 Ph: (480) 818-3177 | Gantzel Dental Center 36327 N Gantzel Rd Ste 104 San Tan Valley AZ 85140-7328 Ph: (480) 818-3177 |
| NPI Number | 1467929448 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467929448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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