Platinum Dental Spa Pllc

NPI #1124549191 in Peoria, Arizona

Provider Information

NPI Number
1124549191
Entity Type
Organization
Organization Name
Platinum Dental Spa Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 29, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
13660 N 94TH DR STE B1
City
Peoria
State
Arizona
ZIP Code
85381-4848
Phone
(623) 977-2551

Authorized Official

Name
DR. ANDREA J BOTAR, DDS
Title
OWNER
Phone
(623) 977-2551

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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