Individual
DR. SYDNEY WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
637 N MAIN ST STE 1C, COTTONWOOD, AZ 86326-5579
(928) 325-8630
Mailing address
574 S AMANTE DR, CORNVILLE, AZ 86325-5155
(419) 651-9818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011071
AZ
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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