Organization
AESTHETIC FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SCOTT WALLIN DDS (OWNER/CEO)
(480) 218-8800
Entity
Organization
Contact information
Practice address
6626 E BASELINE RD STE 101, MESA, AZ 85206-4423
(480) 218-8800
Mailing address
6626 E BASELINE RD STE 101, MESA, AZ 85206-4423
(480) 218-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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