Individual
VIJAL VADECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1619 N DYSART RD, ST. 105, AVONDALE, AZ 85392
(623) 935-6278
Mailing address
2307 E GLENROSA AVE, PHOENIX, AZ 85016-6213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010123
AZ
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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