Organization
LP HAMMETT
Active
Other names
Mobile Dentistry of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN BENSON RDH (OWNER/HYGIENIST)
(480) 313-3310
Entity
Organization
Contact information
Practice address
2733 N POWER RD, SUITE 102-449, MESA, AZ 85215-1682
(480) 313-3310
(480) 772-4032
Mailing address
2733 N POWER RD, SUITE 102-449, MESA, AZ 85215-1682
(480) 313-3310
(480) 772-4032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2040
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86037990
DDS
AZ
Enumeration date
07/13/2009
Last updated
08/06/2009
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