Individual
TINA M WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2385 N FERGUSON AVE STE 111, TUCSON, AZ 85712-2835
(520) 886-3030
Mailing address
10530 E BONPLAND WILLOW DR, TUCSON, AZ 85747-9541
(152) 037-0706
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH5240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HO5240
—
AZ
Enumeration date
06/01/2018
Last updated
06/01/2018
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