Individual
SHARON A TODICHEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4212 N. 16TH ST., PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH 2826
NM
124Q00000X
Dental Hygienist
Primary
DH 5531
AZ
Other
Enumeration date
03/23/2007
Last updated
08/16/2019
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