Individual
DR. DAVID MARC HARMATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4212 N. 16TH STREET, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
59280
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
59280
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS026519L
PA
Other
Enumeration date
01/27/2006
Last updated
04/25/2019
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