NPI 1043983554

Selena Mergendahl

Practitioner Dental Assistant Phoenix, AZ

Practice location

Address: 2222 E Highland Ave STE 320, Phoenix, AZ 85016-4879
Phone: (602) 956-9560

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1043983554
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2021
Record last updated: 29 Jul 2021

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.