El Mirage Dentistry
NPI #1760611552 in El Mirage, Arizona
Provider Information
- NPI Number
- 1760611552
- Entity Type
- Organization
- Organization Name
- El Mirage Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 14, 2009
- Last Updated
- Jul 14, 2009
Practice Location
Authorized Official
- Name
- FAWNE E PRYOR
- Title
- INS MGR
- Phone
- (623) 582-3909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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