Individual
DR. BOYD PATUMMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6323 S RURAL RD STE 101, TEMPE, AZ 85283-2933
(480) 820-7777
(480) 820-7774
Mailing address
6323 S RURAL RD STE 101, TEMPE, AZ 85283-2933
(480) 820-7777
(480) 820-7774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
895534
AHCCCS
AZ
Enumeration date
05/04/2006
Last updated
05/02/2013
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