Individual
DR. MANDY DAITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6320A W UNION HILLS DR, SUITE #280, GLENDALE, AZ 85308-7177
(623) 362-1150
(623) 362-1353
Mailing address
6320A W UNION HILLS DR, SUITE #280, GLENDALE, AZ 85308-7177
(623) 362-1150
(623) 362-1353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5465
AZ
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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