Individual
TIA NOEL CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
211 W CENTER ST, PIMA, AZ 85543-0228
(602) 653-6207
Mailing address
PO BOX 937, PIMA, AZ 85543-0937
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008367
AZ
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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