Individual
NATALY DE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9897 W MCDOWELL RD STE 745, TOLLESON, AZ 85353-1634
(623) 478-0788
Mailing address
9897 W MCDOWELL RD STE 745, TOLLESON, AZ 85353-1634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032919
IL
122300000X
Dentist
Primary
D011688
AZ
Other
Enumeration date
03/05/2021
Last updated
05/03/2026
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