Individual
MARI CYNTHIA FUKAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
625 W SOUTHERN AVE, STE E-145, MESA, AZ 85210-5030
(480) 516-8428
Mailing address
5519 E CALLE DEL NORTE, PHOENIX, AZ 85018-4554
(602) 750-6533
(480) 302-7900
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
6815
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088348
—
AZ
Enumeration date
11/07/2006
Last updated
10/17/2016
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