| Daniel Levi Haught Llc | |
|
825 W Baseline Rd Ste 6 Tempe AZ 85283-5371 | |
| (480) 777-5570 | |
| Not Available |
| Full Name | Daniel Levi Haught Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 825 W Baseline Rd Ste 6, Tempe, Arizona |
| Authorized Official Name and Position | Benjamin E Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6027506897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Levi Haught Llc 825 W Baseline Rd Ste 6 Tempe AZ 85283-5371 Ph: (480) 777-5570 | Daniel Levi Haught Llc 825 W Baseline Rd Ste 6 Tempe AZ 85283-5371 Ph: (480) 777-5570 |
| NPI Number | 1427527332 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427527332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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