| Westgate Periodontics, Pllc | |
|
6535 W Camelback Rd Suite #1 Phoenix AZ 85033-1608 | |
| (623) 848-1901 | |
| (623) 848-8778 |
| Full Name | Westgate Periodontics, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6535 W Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Kurt D Wallin (OWNER/DENTIST) |
| Authorized Official Contact | 6238481901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Periodontics, Pllc 6535 W Camelback Rd Suite #1 Phoenix AZ 85033-1608 Ph: (623) 848-1901 | Westgate Periodontics, Pllc 6535 W Camelback Rd Suite #1 Phoenix AZ 85033-1608 Ph: (623) 848-1901 |
| NPI Number | 1073960928 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073960928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D008400 (Arizona) | Primary |
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