Individual
MICHAEL JORDAN HALCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22480 E OCOTILLO RD, SUITE 102, QUEEN CREEK, AZ 85142
(480) 404-9311
Mailing address
2542 E HALE ST, MESA, AZ 85213-4104
(480) 398-0206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D011212
AZ
Other
Enumeration date
05/22/2019
Last updated
11/07/2022
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