Organization
IMPLANTS AND PERIODONTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDAN WALIA DDS (OWNER)
(480) 963-2787
Entity
Organization
Contact information
Practice address
3800 W RAY RD STE B6, CHANDLER, AZ 85226-5940
(480) 963-2787
(480) 407-6533
Mailing address
3800 W RAY RD STE B6, CHANDLER, AZ 85226-5940
(480) 963-2787
(480) 407-6533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537911
—
AZ
Enumeration date
06/02/2021
Last updated
06/17/2021
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