Eugene Erwin

NPI #1033745377 in Mesa, Arizona

Provider Information

NPI Number: 1033745377
Entity Type: Individual
Name: Eugene Erwin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 18, 2020
Last Updated: Jul 9, 2021

Practice Location

Address: 3440 E BASELINE RD STE 106
City: Mesa
State: Arizona
ZIP Code: 85204-7247
Phone: (480) 926-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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