Organization
WHEELER FAMILY DENTISTRY PLLC
Active
Other names
Goodyear Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLEN CLINTON WHEELER DMD (DENTIST)
(208) 757-8784
Entity
Organization
Contact information
Practice address
14425 W MCDOWELL RD STE F106, GOODYEAR, AZ 85395-2516
(623) 925-8208
Mailing address
10025 LAKE JUNE RD, DALLAS, TX 75217-3041
(972) 362-2237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31987
TX
Other
Enumeration date
12/04/2017
Last updated
05/13/2020
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