Organization
HERSHBERGER DENTAL CERAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT FORTUNA (V.P.)
(623) 934-7614
Entity
Organization
Contact information
Practice address
7220 N 55TH AVE, GLENDALE, AZ 85301-1970
(623) 934-7614
(623) 934-7614
Mailing address
7220 N 55TH AVE, GLENDALE, AZ 85301-1970
(623) 934-7614
(623) 934-7614
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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