Organization
DENTURE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D WHILEY (OWNER)
(602) 651-1436
Entity
Organization
Contact information
Practice address
2525 W GREENWAY RD, SUITE 220, PHOENIX, AZ 85023
(602) 651-1436
(602) 680-7364
Mailing address
2525 W GREENWAY RD, SUITE 220, PHOENIX, AZ 85023-4226
(602) 651-1436
(602) 680-7364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
AZ
Other
Enumeration date
02/13/2008
Last updated
03/23/2010
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