Organization
HALCOMB ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HALCOMB DDS (OWNER)
(480) 398-0206
Entity
Organization
Contact information
Practice address
22480 E OCOTILLO RD, SUITE 102, QUEEN CREEK, AZ 85142
(480) 404-9311
Mailing address
2542 E HALE ST, MESA, AZ 85213-4104
(480) 398-0206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
11/07/2022
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