Arizona Dental Anesthesia Pllc

NPI #1689025256 in Peoria, Arizona

Provider Information

NPI Number
1689025256
Entity Type
Organization
Organization Name
Arizona Dental Anesthesia Pllc
Primary Specialty
Dentist - Dental Anesthesiology
Enumeration Date
Jun 24, 2016
Last Updated
Jun 24, 2016

Practice Location

Address
14100 N 83RD AVE STE 280
City
Peoria
State
Arizona
ZIP Code
85381-5660
Phone
(602) 499-4044

Authorized Official

Name
MATTHEW RYAN WALL, DDS
Title
MANAGER/MEMBER
Phone
(602) 499-4044

Specialties & Taxonomy Codes

Specialty
Dentist - Dental AnesthesiologyDental Anesthesiology

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