Individual
SAMANTHA JO YINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8490 S POWER RD, GILBERT, AZ 85297-8028
(480) 359-1522
Mailing address
5835 E STILL CIR, MESA, AZ 85206-3618
(480) 248-8107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011168
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2020
Last updated
08/13/2021
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