Organization
GBH DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT HAWKINS D.D.S. (OWNER/DENTIST)
(602) 363-3322
Entity
Organization
Contact information
Practice address
1628 E SOUTHERN AVE STE 5, TEMPE, AZ 85282-5685
(480) 831-3898
(480) 831-9352
Mailing address
1628 E SOUTHERN AVE STE 5, TEMPE, AZ 85282-5685
(480) 831-3898
(480) 831-9352
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
12/18/2015
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