Individual
HIRAM CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W ORANGE GROVE RD STE 206, TUCSON, AZ 85704-1140
(520) 797-4551
Mailing address
2001 W ORANGE GROVE RD STE 206, TUCSON, AZ 85704-1140
(520) 797-4551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4239
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4239
DENTAL LICENSE
AZ
Enumeration date
11/22/2006
Last updated
07/08/2007
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