Individual
LENA MASRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 381-0381
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010838
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
08/09/2021
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