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Search › Arizona › 122300000X

Jon Wallis, DMD

NPI 1821510728 · on the registry since 2017

Practice

Address
2028 N Trekell Rd Ste 107
Casa Grande, AZ 85122
Phone
(520) 876-9955
Organisation at this address
Agave Dentistry
Dm Family Dentistry
Intermountain Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-07-12

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