Organization
E PELL WADLEIGH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PELL WADLEIGH DDS (OWNER)
(928) 645-2505
Entity
Organization
Contact information
Practice address
436 VISTA AVE, PAGE, AZ 86040-0002
(928) 645-2505
(928) 645-6820
Mailing address
PO BOX 2, 436 VISTA AVE, PAGE, AZ 86040-0002
(928) 645-2505
(928) 645-6820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2639
AZ
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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