# ALTIUS DENTAL 1 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Dental & Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811614555
- **Authorized official:** GUNJAN DHIR DDS (OWNER)
- **Authorized official phone:** (903) 687-3597

## Contact information

- **Practice address:** 1665 W TEXAS AVE, WASKOM, TX 75692-9652
- **Practice address phone:** (903) 687-3597
- **Practice address fax:** (682) 626-1824
- **Mailing address:** 2401 E RANDOL MILL RD STE 520, ARLINGTON, TX 76011-6380
- **Mailing address phone:** (817) 904-5050
- **Mailing address fax:** (682) 626-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2022
- **Last updated:** 10/30/2023