Individual
DR. KRISTIN MELISSA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
409 W MAIN ST, PAYSON, AZ 85541-5487
(928) 472-8400
Mailing address
409 W MAIN ST, PAYSON, AZ 85541-5487
(928) 472-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7822
AZ
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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