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Individual

DR. LUZ DEPANTE TOBIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
303 E BASELINE RD STE 201, PHOENIX, AZ 85042-6575
(602) 276-1995
(602) 276-1918
Mailing address
303 E BASELINE RD STE 201, PHOENIX, AZ 85042-6575
(602) 276-1995
(602) 276-1918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5366
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
559809
AZ
Enumeration date
02/09/2006
Last updated
04/11/2011
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