Individual
SANDRA DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, RN
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-6148
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-6148
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5168
AZ
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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