Individual
MARY J DEBACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 616-6200
(520) 682-1087
Mailing address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 616-6200
(520) 682-1087
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H06689
AZ
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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