Individual
SELENA MERGENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 E HIGHLAND AVE STE 320, PHOENIX, AZ 85016-4879
(602) 956-9560
Mailing address
2222 E HIGHLAND AVE STE 320, PHOENIX, AZ 85016-4879
(602) 956-9560
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
AZ
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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