# HANHILA AND HANHILA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467641928
- **Authorized official:** DR. MATT O HANHILA III DDS (DENTIST)
- **Authorized official phone:** (602) 279-2981

## Contact information

- **Practice address:** 1515 E MISSOURI AVE, SUITE 103, PHOENIX, AZ 85014-2446
- **Practice address phone:** (602) 279-2981
- **Practice address fax:** (602) 279-1074
- **Mailing address:** 1515 E MISSOURI AVE, SUITE 103, PHOENIX, AZ 85014-2446
- **Mailing address phone:** (602) 279-2298
- **Mailing address fax:** (602) 279-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D4468 | AZ | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 04/07/2009