| 16th Street Dental Care | |
|
1325 W 16th St Suite 4 Yuma AZ 85364-4496 | |
| (928) 782-3839 | |
| (928) 329-9029 |
| Full Name | 16th Street Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1325 W 16th St, Yuma, Arizona |
| Authorized Official Name and Position | Carrie Freeze (OFFICE MANAGER) |
| Authorized Official Contact | 9287823839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 16th Street Dental Care 1325 W 16th St Suite 4 Yuma AZ 85364-4496 Ph: (928) 782-3839 | 16th Street Dental Care 1325 W 16th St Suite 4 Yuma AZ 85364-4496 Ph: (928) 782-3839 |
| NPI Number | 1043466782 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043466782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7288 (Arizona) | Primary |
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