Wallace Arnold Dachenhausen D.D.S.

NPI 1073670105 - Dentist - 1223G0001X

NPI Details
NPI 1073670105
Gender Male
Enumeration Date 01/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1227 WILLOW CREEK RD
PRESCOTT AZ, 86301-1427, US
Phone (928) 778-6684
Fax
Business Location
1227 WILLOW CREEK RD
PRESCOTT AZ, 86301-1427, US
Phone (928) 778-6684
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 4216
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According to our database, Dr. Wallace Arnold Dachenhausen D.D.S. NPI is 1073670105, taxonomy code is 1223G0001X and license number is 4216, license state is located at Arizona. Wallace Arnold Dachenhausen D.D.S. physically located at 1227 Willow Creek Rd, Prescott AZ, 86301-1427. NPI Number Wallace Arnold Dachenhausen D.D.S. has the Individual type.

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1073670105 NPI number is provided on an as is basis without warranty of any kind. 1073670105 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Arnold Dachenhausen D.D.S. are for informational purposes only.