Individual
ELIZABETH ROBYN WALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5601 W EUGIE AVE STE 206, GLENDALE, AZ 85304-1258
(623) 299-8799
Mailing address
20211 N 30TH ST, PHOENIX, AZ 85050-4714
(801) 592-1857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008395
AZ
Other
Enumeration date
06/17/2012
Last updated
08/10/2023
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