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Organization
DANIEL LEVI HAUGHT LLC
Active
Organization
DANIEL LEVI HAUGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
825 W BASELINE RD STE 6, TEMPE, AZ 85283-5371
(480) 777-5570
Mailing address
825 W BASELINE RD STE 6, TEMPE, AZ 85283-5371
(480) 777-5570
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/20/2018
Last updated
11/30/2022
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