Wsat Enterprises, LLC

NPI #1184771339 in Glendale, Arizona

Provider Information

NPI Number: 1184771339
Entity Type: Organization
Organization Name: Wsat Enterprises, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5700 W OLIVE AVE
Address 2: SUITE 104
City: Glendale
State: Arizona
ZIP Code: 85302-3147
Phone: (623) 934-7606

Authorized Official

Name: FAWNE ELIZABETH PRYOR
Title: INSURANCE MANAGER
Phone: (602) 944-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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