Individual
ARLENE TAGALICUD-BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20280 N 59TH AVE STE 104, GLENDALE, AZ 85308-6846
(623) 566-0022
Mailing address
14155 N 83RD AVE, STE 113, PEORIA, AZ 85381-5655
(623) 486-5222
(623) 486-5226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6360
OK
122300000X
Dentist
Primary
D008770
AZ
1223G0001X
General Practice Dentistry
60921
CA
Other
Enumeration date
11/10/2011
Last updated
12/30/2016
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