Individual
MIRANDA VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 616-6200
(520) 682-1087
Mailing address
PO BOX 1101, ORACLE, AZ 85623-1101
(520) 603-8853
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H05961
AZ
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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