Individual
DR. MINDI ALYSE D'ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.D, M.ED
Contact information
Practice address
1714 W HUNT HWY, STE 102, QUEEN CREEK, AZ 85143-5244
(480) 330-6817
Mailing address
1714 W HUNT HWY, STE 102, QUEEN CREEK, AZ 85143-5244
(480) 330-6817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008783
AZ
1223P0221X
Pediatric Dentistry
Primary
D008783
AZ
1223P0221X
Pediatric Dentistry
DR60463744
WA
Other
Enumeration date
07/10/2013
Last updated
06/27/2016
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