16th Street Dental Care

NPI 1043466782 - Dentist - 1223G0001X

NPI Details
NPI 1043466782
Enumeration Date 08/13/2008
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARRIE CARRIE
Position OFFICE MANAGER
Phone (928) 782-3839
Fax (928) 329-9029
Practice Location
1325 W 16TH ST
SUITE 4
YUMA AZ, 85364-4496, US
Phone (928) 782-3839
Fax (928) 329-9029
Business Location
1325 W 16TH ST
SUITE 4
YUMA AZ, 85364-4496, US
Phone (928) 782-3839
Fax (928) 329-9029
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D7288
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According to our database, 16th Street Dental Care NPI is 1043466782, taxonomy code is 1223G0001X and license number is D7288, license state is located at Arizona. 16th Street Dental Care physically located at 1325 W 16th St, Yuma AZ, 85364-4496. NPI Number 1033115704 has the healthcare provider type.

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1043466782 NPI number is provided on an as is basis without warranty of any kind. 1043466782 is maintained by the National Plan & Provider Enumeration System. The contents of 16th Street Dental Care are for informational purposes only.