Individual
DR. KELLI MARIE HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9770 S GRANDVIEW DR, TEMPE, AZ 85284-4082
(602) 647-0415
Mailing address
9770 S GRANDVIEW DR, TEMPE, AZ 85284-4082
(602) 647-0415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009044
AZ
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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