Individual
MRS. LANA JARJIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15182 N 75TH AVE, SUITE 120, PEORIA, AZ 85381-4722
(623) 878-2400
Mailing address
15182 N 75TH AVE, SUITE 120, PEORIA, AZ 85381-4722
(623) 878-2400
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020010334
IL
124Q00000X
Dental Hygienist
Primary
5845
AZ
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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