Individual
DR. AMY MARIE NORDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15215 S 48TH ST STE 190, PHOENIX, AZ 85044-9140
(480) 706-0029
Mailing address
1202 E ZION WAY, CHANDLER, AZ 85249-5191
(480) 706-0029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008427
AZ
Other
Enumeration date
08/13/2012
Last updated
10/16/2020
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