Organization
CHRIS J. WOOLAVER DDS MSC PC
Active
Other names
Woolaver Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4425 E AGAVE RD STE 126, PHOENIX, AZ 85044-0621
(480) 240-9393
Mailing address
4425 E AGAVE RD STE 126, PHOENIX, AZ 85044-0621
(480) 240-9393
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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