Individual
YAMILE EVANGELINA AYALA SIDERIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
485 S DOBSON RD, SUITE 204, CHANDLER, AZ 85224-5602
(480) 821-9022
(480) 821-9064
Mailing address
485 SOUTH DOBSON ROAD, SUITE 204, CHANDLER, AZ 85224
(480) 821-9022
(480) 821-9064
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H006997
AZ
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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