Organization
WSAT ENTERPRISES, LLC
Active
Other names
Reel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNE ELIZABETH PRYOR (INSURANCE MANAGER)
(602) 944-0073
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE, SUITE 104, GLENDALE, AZ 85302-3147
(623) 934-7606
(623) 934-0150
Mailing address
2323 W MESCAL ST, SUITE 205, PHOENIX, AZ 85029-4764
(602) 944-0073
(602) 944-0371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5926
AZ
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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