Michael G. Nadauld, Dmd PLLC
Clinic/Center, Dental in Phoenix, AZ. Organization (NPI-2).
NPI number1235722331
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1235722331
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael G. Nadauld, Dmd PLLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Dental 32 (Doing Business As)
Practice location
1526 W Glendale Ave Ste 102Phoenix, AZ 85021-8576
Phone 602-995-7279
Mailing address
1526 W Glendale Ave Ste 102Phoenix, AZ 85021-8576
Phone 602-995-7279
Authorized official
Michael G Nadauld
Owner
8016410565
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