Individual
MISS MISTY ASHA WATAHOMIGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434-0190
(928) 769-2903
(928) 769-2946
Mailing address
PO BOX 158, PEACH SPRINGS, AZ 86434-0158
(928) 769-2733
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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