Organization
KRISTIN M WADE DMD PLLC
Active
Other names
Payson Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN MELISSA WADE D.M.D. (MEMBER)
(928) 472-8400
Entity
Organization
Contact information
Practice address
409 W MAIN ST, PAYSON, AZ 85541-5487
(928) 472-8400
(928) 472-8300
Mailing address
409 W MAIN ST, PAYSON, AZ 85541-5487
(928) 472-8400
(928) 472-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7822
AZ
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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