Organization
MICHELLE M. MAHOUR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MARIE MAHOUR DDS (PRESIDENT)
(623) 362-9269
Entity
Organization
Contact information
Practice address
22393 N 76TH DR, PEORIA, AZ 85383-2117
(623) 362-9269
Mailing address
22393 N 76TH DR, PEORIA, AZ 85383-2117
(623) 362-9269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4714
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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