Individual
DAPHNE MARIE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18301 N 79TH AVE, SUITE G-186, GLENDALE, AZ 85308-8463
(623) 776-2494
Mailing address
18301 N 79TH AVE, SUITE G-186, GLENDALE, AZ 85308-8463
(623) 776-2494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5702
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922067404
NPI ORGANIZATIONAL NUMBER
AZ
Enumeration date
02/01/2007
Last updated
07/08/2007
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