Individual
KATIE MARIE WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
524 E BASELINE RD, PHOENIX, AZ 85042-6554
(602) 276-4004
Mailing address
2222 W FRYE RD APT 2014, CHANDLER, AZ 85224-3215
(563) 513-8147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011906
AZ
Other
Enumeration date
06/08/2022
Last updated
03/05/2025
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