Organization
WPF HOLDINGS LLC
Active
Other names
Southern Vista Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELWYNN CHAD CAFFALL SR. DDS (DIRECT OWNER)
(480) 892-9000
Entity
Organization
Contact information
Practice address
1801 E SOUTHERN AVE, SUITE 101, MESA, AZ 85204-5258
(480) 892-0060
(480) 892-8806
Mailing address
1801 E SOUTHERN AVE, SUITE 101, MESA, AZ 85204-5258
(480) 892-0060
(480) 892-8806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2561
AZ
122300000X
Dentist
6283
AZ
122300000X
Dentist
Primary
6591
AZ
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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