# DANIEL WOLTER DMD MS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Millennium Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366565384
- **Authorized official:** DR. DANIEL WOLTER DMD MS (PRESIDENT-DENTIST)
- **Authorized official phone:** (623) 536-6789

## Contact information

- **Practice address:** 14940 W INDIAN SCHOOL ROAD, SUITE 450, GOODYEAR, AZ 85338
- **Practice address phone:** (623) 536-6789
- **Practice address fax:** (623) 536-6543
- **Mailing address:** 865 W ORCHARD LN, LITCHFIELD PARK, AZ 85340-5076
- **Mailing address phone:** (623) 337-7542
- **Mailing address fax:** (623) 792-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6646 | AZ | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 12/30/2009