Organization
ERIC R WIITALA DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R WIITALA DDS (OWNER)
(480) 657-6981
Entity
Organization
Contact information
Practice address
9755 NORTH 90TH STREET, SUITE B250, SCOTTSDALE, AZ 85258-5076
(480) 657-6981
Mailing address
9755 NORTH 90TH STREET, SUITE B250, SCOTTSDALE, AZ 85258-5076
(480) 657-6981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D05388
AZ
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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