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Individual

DEVIN WAHLSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10603 N HAYDEN RD STE H112, SCOTTSDALE, AZ 85260-5679
(480) 922-9933
Mailing address
10603 N HAYDEN RD STE H112, SCOTTSDALE, AZ 85260-5679
(480) 922-9933

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
10331
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12395
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
37111
TX

Other

Enumeration date
08/18/2015
Last updated
09/04/2025
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