Individual
SAMANTHA MARCH'E SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1996 DOUGS PARK ROAD, CAMP VERDE, AZ 86322
(928) 567-1832
Mailing address
PO BOX 221, KIRTLAND, NM 87417-0221
(602) 329-0927
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008389
AZ
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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