Organization
POWER SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT WALLIN DDS (OWNER)
(480) 641-4633
Entity
Organization
Contact information
Practice address
1914 S POWER RD, SUITE 103, MESA, AZ 85206-4376
(480) 641-4633
(480) 641-9432
Mailing address
1914 S POWER RD, SUITE 103, MESA, AZ 85206-4376
(480) 641-4633
(480) 641-9432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5282
AZ
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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