Individual
MARK HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 WHIPPLE ST, PRESCOTT, AZ 86301-1714
(928) 445-1660
Mailing address
350 WHIPPLE ST, PRESCOTT, AZ 86301-1714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B12893282
AZ
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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