Individual
ALYSSA MENCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5110 E WARNER RD STE 250, PHOENIX, AZ 85044-3371
(440) 915-0583
Mailing address
1326 S MICHIGAN AVE APT 3610, CHICAGO, IL 60605-3529
(440) 915-0583
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013345A
IN
122300000X
Dentist
Primary
D010955
AZ
Other
Enumeration date
05/26/2020
Last updated
02/10/2021
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