Individual
PATRICIA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
4315 N MARYVALE PKWY, PHOENIX, AZ 85031-1942
(602) 243-7277
(623) 691-1770
Mailing address
3433 E FLOWER ST, PHOENIX, AZ 85018-6251
(602) 541-1005
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008453
AZ
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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