Individual
DR. CHRIS WOOLAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.SC.
Contact information
Practice address
4425 E AGAVE RD STE 126, PHOENIX, AZ 85044-0621
(480) 240-9393
(480) 240-9394
Mailing address
12032 S TUZIGOOT DR, PHOENIX, AZ 85044-3447
(480) 706-6229
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D5374
AZ
Other
Enumeration date
10/17/2006
Last updated
08/20/2008
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