Individual
DR. WAYNE RICHARD WOELLHAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20359 N 59TH AVE STE 101, GLENDALE, AZ 85308-6857
(623) 376-9400
Mailing address
20250 N 67TH AVE APT 2151, GLENDALE, AZ 85308-6641
(303) 859-4612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009460
AZ
1223G0001X
General Practice Dentistry
Primary
D009460
AZ
Other
Enumeration date
05/27/2016
Last updated
07/22/2019
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