Organization
BEN-ORA, HANSEN & VANESIAN IMAGING
Active
Other names
Solis BenOra Mammography
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT DAVIES (AUTH OFFICIAL)
(602) 234-2601
Entity
Organization
Contact information
Practice address
5310 W THUNDERBIRD RD, #213, GLENDALE, AZ 85306-4706
(602) 439-1472
Mailing address
15601 DALLAS PKWY STE 300, ADDISON, TX 75001-6012
(469) 398-4100
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
08/13/2024
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