Individual
DR. GAFF WILTSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1120 S 1ST ST, IMMOKALEE, FL 34142-4303
(239) 867-3410
Mailing address
PO BOX 970112, COCONUT CREEK, FL 33097-0112
(804) 335-1098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26478
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/13/2021
Last updated
11/07/2021
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