Organization
MICHAEL J HYNEMAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J HYNEMAN DMD (DENTIST OWNER)
(480) 649-1949
Entity
Organization
Contact information
Practice address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 649-1949
(490) 649-0617
Mailing address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 649-1949
(490) 649-0617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3564
AZ
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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