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Individual

PRACHI TYAGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14858 N FRANK LLOYD WRIGHT BLVD BLDG 260, SCOTTSDALE, AZ 85260-2216
(480) 860-4455
Mailing address
14858 N FRANK LLOYD WRIGHT BLVD STE 165A, SCOTTSDALE, AZ 85260-2216
(402) 551-9533

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010508
AZ

Other

Enumeration date
08/10/2015
Last updated
02/12/2020
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