Individual
DR. PAUL WADLEY HAYCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
6755 E SUPERSTITION SPRINGS BLVD, SUITE 102, MESA, AZ 85206-4373
(480) 218-7590
Mailing address
4202 E BROADWAY, #42, MESA, AZ 85206-1024
(480) 924-8851
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1747
AZ
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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