Individual
MEGAN EFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10750 W MCDOWELL RD STE F610, AVONDALE, AZ 85392-5976
(480) 581-9591
Mailing address
4760 E BASELINE RD APT 3050, MESA, AZ 85206-4694
(331) 330-5440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D011914
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2020
Last updated
11/14/2023
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