Organization
RYAN S. WALLIN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA L ACCOLA (BUSINESS MANAGER)
(480) 218-8800
Entity
Organization
Contact information
Practice address
6626 E BASELINE RD, SUITE 101, MESA, AZ 85206
(480) 218-8800
(480) 218-7828
Mailing address
6626 E BASELINE RD, SUITE 101, MESA, AZ 85206
(480) 218-8800
(480) 218-7828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5282
AZ
Other
Enumeration date
05/04/2007
Last updated
03/20/2008
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