| Russell K. Hanes Dds, Pc | |
|
1900 Paseo San Luis Sierra Vista AZ 85635-4614 | |
| (520) 458-2415 | |
| Not Available |
| Full Name | Russell K. Hanes Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Paseo San Luis, Sierra Vista, Arizona |
| Authorized Official Name and Position | Russell K Hanes (PRESIDENT) |
| Authorized Official Contact | 5204582415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell K. Hanes Dds, Pc 1900 Paseo San Luis Sierra Vista AZ 85635-4614 Ph: () - | Russell K. Hanes Dds, Pc 1900 Paseo San Luis Sierra Vista AZ 85635-4614 Ph: (520) 458-2415 |
| NPI Number | 1730393174 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730393174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3507 (Arizona) | Primary |
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