Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | D7900 | AZ |
NPI | 1013235860 |
---|---|
Provider Name | Dr. David Eric Hoffman |
First Address | Scottsdale, AZ 85259-2646 |
Second Address | Scottsdale, AZ 85259-2646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 03/07/2013 |