Individual
DARRON R MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2510 E HUNT HWY, #29, SAN TAN VALLEY, AZ 85143-5206
(480) 457-1623
(480) 457-1321
Mailing address
2510 E HUNT HWY, #29, SAN TAN VALLEY, AZ 85143-5206
(480) 457-1623
(480) 457-1321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5972
AZ
Other
Enumeration date
07/09/2006
Last updated
12/21/2010
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