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ARLENE LORA NADIRA KEWALLAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1520 W WARNER RD STE 110, GILBERT, AZ 85233-7043
(615) 410-8669
Mailing address
1616 N CENTRAL AVE APT 3189, PHOENIX, AZ 85004-1672

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D010584
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005890
AZ
Enumeration date
03/25/2015
Last updated
04/28/2022
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