| Hollywood Orthodontics | |
|
1445 W Southern Ave Suite 1212 Mesa AZ 85202-4803 | |
| (480) 636-9970 | |
| Not Available |
| Full Name | Hollywood Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1445 W Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | John M Morris (ORTHODONTIST OWNER) |
| Authorized Official Contact | 4806369970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Orthodontics 1445 W Southern Ave Suite 1212 Mesa AZ 85202-4803 Ph: (480) 636-9970 | Hollywood Orthodontics 1445 W Southern Ave Suite 1212 Mesa AZ 85202-4803 Ph: (480) 636-9970 |
| NPI Number | 1285011098 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285011098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D008050 (Arizona) | Primary |
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