Individual
AMY LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
34640 N NORTH VALLEY PKWY STE 104, PHOENIX, AZ 85086-3248
(623) 879-9503
Mailing address
34640 N NORTH VALLEY PKWY STE 104, PHOENIX, AZ 85086-3248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009762
AZ
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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