Raymond Mcready Travis Vanderwerf DDS, CAGS

NPI 1013126101 - Dentist - 1223E0200X

NPI Details
NPI 1013126101
Gender Male
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1630 S STAPLEY DR
#208
MESA AZ, 85204-6657, US
Phone (480) 775-2656
Fax
Business Location
1630 S STAPLEY DR
#208
MESA AZ, 85204-6657, US
Phone (480) 775-2656
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Arizona
License Number 2117
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According to our database, Dr. Raymond Mcready Travis Vanderwerf DDS, CAGS NPI is 1013126101, taxonomy code is 1223E0200X and license number is 2117, license state is located at Arizona. Raymond Mcready Travis Vanderwerf DDS, CAGS physically located at 1630 S Stapley Dr, Mesa AZ, 85204-6657. NPI Number Raymond Mcready Travis Vanderwerf DDS, CAGS has the Individual type.

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1013126101 NPI number is provided on an as is basis without warranty of any kind. 1013126101 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Mcready Travis Vanderwerf DDS, CAGS are for informational purposes only.