Individual
MARIANA ELENA MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
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) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D009631
AZ
1223G0001X
General Practice Dentistry
D009631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245855
—
AZ
Enumeration date
02/15/2016
Last updated
08/03/2022
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