Christopher Smith Wennerholm Valid NPI
Individual provider · Dental Anesthesiology · Gilbert, AZ
- NPI
- 1083364293
- Type
- Individual (Type 1)
- Primary specialty
- Dental Anesthesiology (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0004X
- License number
- D012421 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-03-29
- Last updated
- 2026-01-23
Practice location
2308 E Bonita St
Gilbert, AZ 85296-2743
(480) 204-9392