Organization
MICHAEL G. NADAULD, DMD PLLC
Active
Other names
Dental 32
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G NADAULD DMD (OWNER)
(801) 641-0565
Entity
Organization
Contact information
Practice address
1526 W GLENDALE AVE STE 102, PHOENIX, AZ 85021-8576
(602) 995-7279
Mailing address
1526 W GLENDALE AVE STE 102, PHOENIX, AZ 85021-8576
(602) 995-7279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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