Individual
MRS. PAMELA KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
15182 N 75TH AVE STE 120, PEORIA, AZ 85381-4722
(623) 878-2400
Mailing address
2610 W VIA DE PEDRO MIGUEL, PHOENIX, AZ 85086-6643
(623) 535-4664
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4227
AZ
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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