Individual
ISABELLA MARIE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE KNOLL DR, FLAGSTAFF, AZ 86011-0001
(928) 523-5112
Mailing address
16291 W CRENSHAW ST, SURPRISE, AZ 85379-4807
(623) 882-5015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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