Organization
AESTHETIC DENTAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT WALLIN DDS (OWNER)
(480) 786-9030
Entity
Organization
Contact information
Practice address
595 N DOBSON RD, SUITE B-40, CHANDLER, AZ 85224-4226
(480) 786-9030
(480) 786-4079
Mailing address
595 N DOBSON RD, SUITE B-40, CHANDLER, AZ 85224-4226
(480) 786-9030
(480) 786-4079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5282
AZ
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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