Individual
DR. BRENNON LEWAYNE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 N CENTRAL AVE, SHOW LOW, AZ 85901-4712
(928) 537-4363
Mailing address
PO BOX 1978, SAINT JOHNS, AZ 85936-1978
(928) 551-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010331
AZ
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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