Individual
KALLEN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14425 W MCDOWELL RD STE F106, GOODYEAR, AZ 85395-2516
(623) 925-8208
Mailing address
14425 W MCDOWELL RD STE F106, GOODYEAR, AZ 85395-2516
(623) 925-8208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31987
TX
122300000X
Dentist
Primary
D010397
AZ
Other
Enumeration date
07/14/2016
Last updated
04/29/2026
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