Fort Mohave Dental Care Pllc

NPI 1750556932 - Dentist - 122300000X

NPI Details
NPI 1750556932
Enumeration Date 04/28/2008
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARK ALAN MARK
Position OWNER
Phone (928) 758-8887
Fax
Practice Location
1501 E CAMP MOHAVE RD # 1
FORT MOHAVE AZ, 86426-9406, US
Phone (928) 758-8887
Fax
Business Location
1501 E CAMP MOHAVE RD # 1
FORT MOHAVE AZ, 86426-9406, US
Phone (928) 758-8887
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 4792
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According to our database, Fort Mohave Dental Care Pllc NPI is 1750556932, taxonomy code is 122300000X and license number is 4792, license state is located at Arizona. Fort Mohave Dental Care Pllc physically located at 1501 E Camp Mohave Rd # 1, Fort Mohave AZ, 86426-9406. NPI Number 1033115704 has the healthcare provider type.

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1750556932 NPI number is provided on an as is basis without warranty of any kind. 1750556932 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Mohave Dental Care Pllc are for informational purposes only.