Individual
DR. KRISTEN M MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6231 S CENTRAL AVE, PHOENIX, AZ 85042-4236
(602) 268-2273
Mailing address
6231 S CENTRAL AVE, PHOENIX, AZ 85042-4236
(602) 268-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7792
AZ
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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