Individual
CELINE RENEE UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
2702 N 3RD ST, STE. 4020, PHOENIX, AZ 85004-1130
(602) 323-3345
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008860
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008860
—
AZ
01
—
60546
DENTAL LICENSE
CA
Enumeration date
08/04/2011
Last updated
06/27/2016
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