Individual provider · Type 1 NPI

Kenneth E. Wilstead, DMD

General Practice Dentistry · Phoenix, AZ

NPI number 1215223573 Active

About NPI 1215223573

Kenneth E. Wilstead, DMD's National Provider Identifier is 1215223573, issued on Jun 24, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 24, 2011.