Individual
MS. NESIE DOMINGO DACULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3154
(928) 669-3151
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3154
(928) 669-3151
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18821
FL
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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