Individual
LEA MARI READY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
20826 E RIGGS RD, QUEEN CREEK, AZ 85142-7324
(480) 382-0406
Mailing address
4584 W HAZEL LN, SAN TAN VALLEY, AZ 85142-0121
(408) 402-1861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011784
AZ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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