Individual
MRS. ELISA MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
306 E MONROE AVE, BUCKEYE, AZ 85326-2706
(877) 809-5092
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8372
AZ
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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