Individual
DR. SAMUEL TAMAYO FERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2805 W AGUA FRIA FWY STE 8A, PHOENIX, AZ 85027-3901
(623) 255-3390
Mailing address
7900 E PRINCESS DR APT 2249, SCOTTSDALE, AZ 85255-5867
(224) 436-2570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012283
AZ
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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