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NPI 1740591890

IndividualActive

Jesse Laizure

NPI 1740591890 · Dental Laboratory Technician · Scottsdale, AZ

Provider details

NPI number: 1740591890
Entity type: Individual
Primary specialty: Dental Laboratory TechnicianDental Providers
Sex: Male
Sole proprietor: No

Practice location

15333 N Pima Rd

Suite 103

Scottsdale, AZ 85260

Phone: (602) 298-1388

Fax: (602) 298-1391

More AZ providers

Mailing address

15333 N Pima Rd

Scottsdale, AZ 85260

Registry dates

Enumerated: 2010-06-23
Last updated: 2010-06-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jesse Laizure — NPI 1740591890, Scottsdale, AZ | NPI Central