Individual
NICHOLAS BURKE WINDAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3935 N 67TH AVE STE 101, PHOENIX, AZ 85033-6228
(602) 584-9654
Mailing address
8201 W BEARDSLEY RD APT 1088, PEORIA, AZ 85382-2456
(406) 260-5341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012226
AZ
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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