Individual
MALLORY JO NYENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
223 N SAN FRANCISCO ST STE 104, FLAGSTAFF, AZ 86001-4657
(928) 275-1252
Mailing address
2756 W HIGHLAND MEADOWS DR, WILLIAMS, AZ 86046-9179
(920) 918-0843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011313
AZ
Other
Enumeration date
04/18/2016
Last updated
02/13/2025
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