Whalio Doctors

NPI 1033467113

Elaine Carmella Mamola, RDH

Practitioner Dental Hygienist Surprise, AZ

Practice location

Address
15508 W Bell Rd 101-525, Surprise, AZ 85374-2432
Phone
(623) 584-4746
Fax
(623) 584-4750

Registered specialties (2)

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H04804 (AZ)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence H05302 (AZ)

Registry record

NPI
1033467113
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Aug 2012
Record last updated
21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.