Organization
KIDIATRIC ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER VILLANUEVA (DOCTOR)
(480) 494-2001
Entity
Organization
Contact information
Practice address
224 W CHANDLER HEIGHTS RD, CHANDLER, AZ 85248-5072
(480) 494-2001
Mailing address
224 W CHANDLER HEIGHTS RD, CHANDLER, AZ 85248-5072
(480) 494-2001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
09/21/2018
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