Individual
MONIQUE YASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13048 W RANCHO SANTA FE BLVD STE 114, AVONDALE, AZ 85392-1707
(623) 476-1007
Mailing address
8612 W MELINDA LN, PEORIA, AZ 85382-2499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011430
AZ
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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