Organization
BRIAN L WOOLSEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L WOOLSEY DDS (PRESIDENT)
60295551500
Entity
Organization
Contact information
Practice address
4444 N 32ND ST, STE 240, PHOENIX, AZ 85018
(602) 955-1500
(602) 955-6309
Mailing address
4444 N 32ND ST, STE 240, PHOENIX, AZ 85018
(602) 955-1500
(602) 955-6309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4380
AZ
Other
Enumeration date
03/06/2007
Last updated
10/31/2012
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