Individual
SUCHITA MANDAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
Mailing address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10432
AZ
Other
Enumeration date
01/30/2020
Last updated
11/05/2021
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