Individual
CHAD I HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15640 N 7TH ST STE A4, PHOENIX, AZ 85022-3520
(602) 843-6000
Mailing address
15640 N 7TH ST STE A4, PHOENIX, AZ 85022-3520
(319) 331-3709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9188
AZ
Other
Enumeration date
07/10/2010
Last updated
12/17/2015
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