Individual
MARISA RUBIO ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 EAST UNION HILLS DR, STE D6, PHOENIX, AZ 85024
(623) 582-6789
(623) 780-3344
Mailing address
822 EAST UNION HILLS DR, STE D6, PHOENIX, AZ 85024
(623) 582-6789
(623) 780-3344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4895
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D4895
AZ
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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