Individual
BIVIANA A DICOCHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 375-5032
(520) 761-2159
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H011120
AZ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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