Individual
DR. VANESSA COELHO MARINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
17250 N 43RD AVE, SUITE 5, GLENDALE, AZ 85308-4035
(602) 978-8433
Mailing address
17250 N 43RD AVE, SUITE 5, GLENDALE, AZ 85308-4035
(602) 978-8433
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5823
AZ
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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