Most Relevant Information
Provider Data
| NPI Number: | 1003549791 |
| Provider Name: | ISABELLA MARIE SWAN |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2022 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
208 E PINE KNOLL DR
FLAGSTAFF
AZ
860110001
Practice Location Phone/Fax
| Phone: | 9285235112 |
| Fax: |
Provider Mailing Location
16291 W CRENSHAW ST
SURPRISE
AZ
853794807
Provider Mailing Phone/Fax
| Phone: | 6238825015 |
| Fax: |