Kristin M Wade Dmd Pllc

NPI #1700279437 in Payson, Arizona

Provider Information

NPI Number: 1700279437
Entity Type: Organization
Organization Name: Kristin M Wade Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 409 W MAIN ST
City: Payson
State: Arizona
ZIP Code: 85541-5487
Phone: (928) 472-8400

Authorized Official

Name: DR. KRISTIN MELISSA WADE, D.M.D.
Title: MEMBER
Phone: (928) 472-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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