Individual
NATHANIEL DOCKSTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6701 W UNION HILLS DR, GLENDALE, AZ 85308-8067
(602) 843-0010
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(619) 532-7935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009543
AZ
Other
Enumeration date
05/31/2016
Last updated
12/16/2020
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