Individual
JAZMIN PENALOZA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15525 N 83RD AVE STE 104, PEORIA, AZ 85382-5820
(480) 964-2273
Mailing address
7562 N 125TH AVE, GLENDALE, AZ 85307-1745
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H010881
AZ
Other
Enumeration date
02/16/2026
Last updated
02/17/2026
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