Individual
MS. TANYA VALERIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3140 W BUCKEYE RD, PHOENIX, AZ 85009-5637
(623) 451-5189
Mailing address
26901 N 90TH AVE, PEORIA, AZ 85383-3795
(623) 451-5189
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H05261
AZ
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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