Individual
DUANE LEE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1150 NORTH COUNTRY CR DR, MESA, AZ 85201
(480) 964-3124
(480) 964-9252
Mailing address
1150 NORTH COUNTRY CR DR, MESA, AZ 85201
(480) 964-3124
(480) 964-9252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2827 AZ
AZ
Other
Enumeration date
12/06/2006
Last updated
06/17/2008
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