Individual
DR. JESSICA TEIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15425 S 40TH PL, PHOENIX, AZ 85044-3746
(480) 704-0701
Mailing address
306 W EDGEMONT AVE, PHOENIX, AZ 85003-1011
(480) 202-1049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010008
AZ
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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