Provider Demographics
NPI:1194924415
Name:DENKHA, HIBA KAMAL (DDS)
Entity type:Individual
Prefix:DR
First Name:HIBA
Middle Name:KAMAL
Last Name:DENKHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15182 N 75TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4722
Mailing Address - Country:US
Mailing Address - Phone:623-878-2400
Mailing Address - Fax:623-878-3151
Practice Address - Street 1:15182 N 75TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4722
Practice Address - Country:US
Practice Address - Phone:623-878-2400
Practice Address - Fax:623-878-3151
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD 73001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice