Organization
IMPRESSIONS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY WETTSTEIN DMD (OWNER)
(480) 814-8888
Entity
Organization
Contact information
Practice address
5970 S COOPER RD, STE 1, CHANDLER, AZ 85249-5393
(480) 814-8888
(480) 814-1553
Mailing address
5970 S COOPER RD, STE 1, CHANDLER, AZ 85249-5393
(480) 814-8888
(480) 814-1553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6572
AZ
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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