Individual
DR. SEMIDA REPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 W DUNLAP AVE, PHOENIX, AZ 85021-4375
(602) 861-3333
Mailing address
5410 W TOPEKA DR, GLENDALE, AZ 85308-4960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010673
AZ
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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