Provider Demographics
NPI:1376101188
Name:ARMENDARIZ, BETHANY HELEN (DMD)
Entity type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:HELEN
Last Name:ARMENDARIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7579 W MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-1505
Mailing Address - Country:US
Mailing Address - Phone:760-791-0731
Mailing Address - Fax:
Practice Address - Street 1:18555 N 79TH AVE STE B104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8372
Practice Address - Country:US
Practice Address - Phone:623-334-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1037411223G0001X
AZD0106391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice