Individual
YARA SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(713) 474-3279
Mailing address
148 W MYRNA LN, TEMPE, AZ 85284-3045
(713) 474-3279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63700
CA
Other
Enumeration date
08/04/2014
Last updated
10/18/2020
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