Individual
MR. PHILLIP MELVIN HENDRIX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
610 N ALMA SCHOOL ROAD, SUITE 4, CHANDLER, AZ 85224-3687
(480) 461-8683
(480) 964-4171
Mailing address
610 N ALMA SCHOOL ROAD, SUITE 4, CHANDLER, AZ 85224-3687
(480) 461-8683
(480) 964-4171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466541-01
—
AZ
Enumeration date
04/20/2007
Last updated
01/11/2011
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