Ivan F Pacheco DMD

NPI 1073553632 - Dentist - 122300000X

NPI Details
NPI 1073553632
Gender Male
Enumeration Date 06/08/2006
Last Updated 03/31/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
167 NORTH MAIN STREET
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2501
Fax (928) 283-2677
Business Location
PO BOX 600
167 NORTH MAIN STREET
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2501
Fax (928) 283-2677
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number D6669
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According to our database, Ivan F Pacheco DMD NPI is 1073553632, taxonomy code is 122300000X and license number is D6669, license state is located at Arizona. Ivan F Pacheco DMD physically located at 167 North Main Street, Tuba City AZ, 86045-0600. NPI Number Ivan F Pacheco DMD has the Individual type.

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1073553632 NPI number is provided on an as is basis without warranty of any kind. 1073553632 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan F Pacheco DMD are for informational purposes only.