Individual
DR. RACHEL LYNN MENDAZONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21001 N TATUM BLVD STE 80-1690, PHOENIX, AZ 85050-5233
(480) 419-9200
Mailing address
16204 SW VAQUEROS WAY, POWELL BUTTE, OR 97753-0411
(541) 325-6339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011571
AZ
122300000X
Dentist
D11708
OR
Other
Enumeration date
10/07/2022
Last updated
11/13/2023
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