Individual
DR. PHILIP CARL HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.A.G.D.
Contact information
Practice address
203 E MESCALERO RD, ROSWELL, NM 88201-6510
(505) 623-9110
(505) 623-6436
Mailing address
203 E MESCALERO RD, ROSWELL, NM 88201-6510
(505) 623-9110
(505) 623-6436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1636
NM
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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