NPI 1033398870

Impressions Dental

Organisation General Practice Dentistry Chandler, AZ

Practice location

Address: 5970 S Cooper Rd STE 1, Chandler, AZ 85249-5393
Phone: (480) 814-8888
Fax: (480) 814-1553

Authorised official

Name: Kelly Wettstein
Title: Owner
Phone: (480) 814-8888

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6572 (AZ)

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Registry record

NPI: 1033398870
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.