# RYAN S. WALLIN, DDS, PC

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

## Provider details

- **NPI number:** 1922210632
- **Authorized official:** RONDA L ACCOLA (BUSINESS MANAGER)
- **Authorized official phone:** (480) 218-8800

## Contact information

- **Practice address:** 6626 E BASELINE RD, SUITE 101, MESA, AZ 85206
- **Practice address phone:** (480) 218-8800
- **Practice address fax:** (480) 218-7828
- **Mailing address:** 6626 E BASELINE RD, SUITE 101, MESA, AZ 85206
- **Mailing address phone:** (480) 218-8800
- **Mailing address fax:** (480) 218-7828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5282 | AZ | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 03/20/2008