Individual
MR. MICHAEL DAVID HUMMITZSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
(480) 807-8100
(480) 325-8014
Mailing address
10665W INDIAN SCHOOL RD J, AVONDALE, AZ 85392-5643
(623) 772-5362
(623) 772-6036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5769
AZ
Other
Enumeration date
01/26/2007
Last updated
11/06/2015
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