Individual
MICHAEL JOHN HYNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 649-1949
(480) 649-0617
Mailing address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 649-1949
(480) 649-0617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3564
AZ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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