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Organization
BELMONT DENTISTRY
Active
Organization
BELMONT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN WYSEL DDS (OWNER)
(480) 609-0050
Entity
Organization
Contact information
Practice address
8350 E RAINTREE DR, SUITE 115, SCOTTSDALE, AZ 85260-2695
(480) 609-0050
Mailing address
8350 E RAINTREE DR, SUITE 115, SCOTTSDALE, AZ 85260-2695
(480) 609-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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