Individual
MARGO LEILANI RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1734 E. COCO PALM CT., GILBERT, AZ 85234
(480) 567-8470
Mailing address
1734 E. COCO PALM CT., GILBERT, AZ 85234
(480) 567-8470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008570
AZ
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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