Individual
DR. MICHAEL GREG NADAULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1526 W GLENDALE AVE STE 102, PHOENIX, AZ 85021-8576
(602) 995-7279
(602) 995-7244
Mailing address
1526 W GLENDALE AVE STE 102, PHOENIX, AZ 85021-8576
(602) 995-7279
(602) 995-7244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010962
AZ
122300000X
Dentist
9593673
UT
Other
Enumeration date
07/04/2015
Last updated
07/29/2022
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