Organization
DESERT VILLA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WA N CHAO DDS (OWNER)
(520) 399-2700
Entity
Organization
Contact information
Practice address
1055 N LA CANADA DR, STE 109, GREEN VALLEY, AZ 85614-3700
(520) 399-2700
(520) 399-4001
Mailing address
1055 N LA CANADA DR, STE 109, GREEN VALLEY, AZ 85614-3700
(520) 399-2700
(520) 399-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D05986
AZ
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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