Individual
DR. MANDALENE JAYNE MIRKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
717 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 561-4092
Mailing address
717 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 861-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008869
AZ
Other
Enumeration date
06/07/2012
Last updated
11/07/2017
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