Organization
GANTZEL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WESLEY CULLER DMD (DENTIST)
(480) 818-3177
Entity
Organization
Contact information
Practice address
36327 N GANTZEL RD STE 104, SAN TAN VALLEY, AZ 85140-7328
(480) 818-3177
Mailing address
36327 N GANTZEL RD STE 104, SAN TAN VALLEY, AZ 85140-7328
(480) 818-3177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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