Aesthetic Dental Arts, LLC
Dentist, General Practice in Chandler, AZ. Organization (NPI-2).
NPI number1346782208
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1346782208
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetic Dental Arts, LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2016
- Last updated
- Nov 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D5282 | AZ | Yes |
Practice location
595 N Dobson RdSuite B-40
Chandler, AZ 85224-4226
Phone 480-786-9030 · Fax 480-786-4079
Mailing address
595 N Dobson RdSuite B-40
Chandler, AZ 85224-4226
Phone 480-786-9030 · Fax 480-786-4079
Authorized official
Ryan Scott Wallin
Owner
4807869030
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