Individual
LETICIA ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3030 N 67TH PL, SCOTTSDALE, AZ 85251-6082
(480) 946-0473
Mailing address
49302 W MAYER BLVD, MARICOPA, AZ 85139-5220
(520) 709-9908
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11150712LO
NPI
AZ
Enumeration date
08/31/2012
Last updated
08/31/2012
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