Organization
HANHILA AND HANHILA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT O HANHILA III DDS (DENTIST)
(602) 279-2981
Entity
Organization
Contact information
Practice address
1515 E MISSOURI AVE, SUITE 103, PHOENIX, AZ 85014-2446
(602) 279-2981
(602) 279-1074
Mailing address
1515 E MISSOURI AVE, SUITE 103, PHOENIX, AZ 85014-2446
(602) 279-2298
(602) 279-1074
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4468
AZ
Other
Enumeration date
10/22/2007
Last updated
04/07/2009
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