Organization
NATHANIEL DOCKSTADER DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL DOCKSTADER DMD (MEMBER)
(435) 429-5360
Entity
Organization
Contact information
Practice address
6701 W UNION HILLS DR, GLENDALE, AZ 85308-8067
(602) 843-0010
(602) 843-5554
Mailing address
6701 W UNION HILLS DR, GLENDALE, AZ 85308-8067
(602) 843-0010
(602) 843-5554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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