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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CANDICE MARISSA MATTHEWS-PENROD, RDH

Active

MS. CANDICE MARISSA MATTHEWS-PENROD, RDH is a Dental Hygienist healthcare provider located in EAGAR, Arizona. NPI 1083381412 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · EAGAR, AZ

Registration Details

NPI Number
1083381412
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2021 (4.97501194317 yrs)
Last Updated
Aug 24, 2021
License
H008271 (AZ)

Practice Information

Address
378 E 4TH AVE
EAGAR, AZ, 859259763
Browse AZ providers · Browse ZIP 85925
Phone
9285374300
Primary Specialty
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.