MICHAEL J HYNEMAN DMD PC
Dentist at Mckellips Rd, Mesa, AZ

License number
Arizona 3564
Category
Dentist
Type
Dentist
Owner
Name: DR. MICHAEL J HYNEMAN DMD
Title: DENTIST OWNER
Phone: (480) 649-1949
Address
Address
1905 E Mckellips Rd, Mesa, AZ 85203
National Provider ID: 1528193810
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL J. HYNEMAN, D.M.D., PC

1905 E Mckellips Rd, Mesa, AZ 85203

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Jan 18, 1995
Inactive since:
Jun 27, 2014
State ID:
-0740615-0
Expiration:
Perpetual
President/ceo:
Michael J Hyneman (President/ceo), 1905 E Mckellips Rd, Mesa, AZ 85203 (Physical)
Agent:
David F Gaona,3101 N Central Ave #720, Phoenix, AZ 85012 (Physical)
Business type:
Health Care

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