Individual
DR. MICHAEL R. HULL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 E THUNDERBIRD RD STE 2, PHOENIX, AZ 85022-5396
(602) 863-3000
Mailing address
4701 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2719
(623) 245-8461
(623) 247-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4978
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636095
AHCCCS
AZ
Enumeration date
08/09/2006
Last updated
11/08/2019
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