Organization
MOUNTAINSIDE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H. HAYMORE DDS (MANAGER)
(520) 297-5422
Entity
Organization
Contact information
Practice address
9000 N ORACLE RD, ORO VALLEY, AZ 85704-7400
(520) 297-5422
Mailing address
9000 N ORACLE RD, ORO VALLEY, AZ 85704-7400
(520) 297-5422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093769671
NPPES
AZ
01
—
1700218419
NPPES
AZ
01
—
1922034347
NPPES
AZ
Enumeration date
11/11/2014
Last updated
11/11/2014
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