Individual
KAHLEA ELIZABETH MANCARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
3519 E CHATTAROY RD, CHATTAROY, WA 99003-8615
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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