Individual
JESSE MCHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15433 N TATUM BLVD STE 200, PHOENIX, AZ 85032-4228
(602) 313-3947
Mailing address
15433 N TATUM BLVD STE 200, PHOENIX, AZ 85032-4228
(602) 313-3947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011989
AZ
Other
Enumeration date
05/31/2022
Last updated
05/30/2024
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