Wsat Enterprises I, LLC

NPI #1649395088 in Goodyear, Arizona

Provider Information

NPI Number: 1649395088
Entity Type: Organization
Organization Name: Wsat Enterprises I, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 140 N LITCHFIELD RD STE 200
City: Goodyear
State: Arizona
ZIP Code: 85338-1226
Phone: (623) 932-5130

Authorized Official

Name: MS. FAWNE PRYOR
Title: AR AND INSURANCE MANAGER
Phone: (602) 944-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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