Organization
HAM & LACY DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN HAM DDS (MANAGER AND MEMBER)
(520) 404-9425
Entity
Organization
Contact information
Practice address
10425 N ORACLE RD STE 125, ORO VALLEY, AZ 85737-9360
(520) 404-9425
Mailing address
10425 N ORACLE RD STE 125, ORO VALLEY, AZ 85737-9360
(520) 404-9425
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659825255
NPI
AZ
Enumeration date
01/13/2021
Last updated
01/13/2021
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