Individual
SERENA IDE NOUMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 265-8005
Mailing address
8275 E BELL RD APT 3205, SCOTTSDALE, AZ 85260-1039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B62417903
VA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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