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Individual

DR. YOLANDA ALEJANDRINO SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1819 W DUNLAP AVE, SUITE 1, PHOENIX, AZ 85021-4375
(602) 861-3333
Mailing address
2751 E REDFIELD RD, PHOENIX, AZ 85032-5648
(303) 999-1672

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63203
CA
1223G0001X
General Practice Dentistry
Primary
8676
AZ
1223G0001X
General Practice Dentistry
DEN-9758
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56201346
CO
05
838111
AZ
Enumeration date
09/08/2008
Last updated
06/22/2015
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