Organization
SANTAN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH TIERNEY RDH (OWNER)
(520) 723-3801
Entity
Organization
Contact information
Practice address
1185 N ARIZONA BLVD, COOLIDGE, AZ 85228-3203
(520) 723-3801
Mailing address
PO BOX 1640, QUEEN CREEK, AZ 85242-1640
(520) 723-3801
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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