IndividualActive
Maricel Carbonell Meneses
NPI 1477341865 · Dental Assistant · Laveen, AZ
Provider details
- NPI number
- 1477341865
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 143821 (ZZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3624 W Baseline Rd Ste 170
Laveen, AZ 85339-3044
Phone: (602) 825-8420
Approximate (ZIP-level) locationGet directions
Mailing address
3624 W Baseline Rd Ste 170
Laveen, AZ 85339-3044
Additional practice locations (1)
- 8652 W Mackenzie DrPhoenix, AZ 85037-2155Phone: (602) 825-8420
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.