Organization
MARK B HUGHES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B HUGHES DDS (PRESIDENT)
(623) 776-1113
Entity
Organization
Contact information
Practice address
6591 W THUNDERBIRD RD STE C1, GLENDALE, AZ 85306-3719
(623) 776-1113
Mailing address
6591 W THUNDERBIRD RD STE C1, GLENDALE, AZ 85306-3719
(623) 776-1113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407910474
TYPR I NPI
AZ
Enumeration date
02/23/2007
Last updated
09/11/2007
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