SearchArizona1223G0001X

Kenneth Wilstead, D.M.D

NPI 1215223573 · on the registry since 2011

Practice

Address
6831 S Central Ave
Phoenix, AZ 85042
Phone
(602) 268-8881
Organisation at this address
South Central Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona