# AESTHETIC DENTAL ARTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346782208
- **Authorized official:** DR. RYAN SCOTT WALLIN DDS (OWNER)
- **Authorized official phone:** (480) 786-9030

## Contact information

- **Practice address:** 595 N DOBSON RD, SUITE B-40, CHANDLER, AZ 85224-4226
- **Practice address phone:** (480) 786-9030
- **Practice address fax:** (480) 786-4079
- **Mailing address:** 595 N DOBSON RD, SUITE B-40, CHANDLER, AZ 85224-4226
- **Mailing address phone:** (480) 786-9030
- **Mailing address fax:** (480) 786-4079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5282 | AZ | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 11/09/2016