Anasazi Denture Clinic, Llc | |
18425 E Stirrup Ln Rio Verde AZ 85263-7114 | |
(480) 471-9560 | |
Not Available |
Full Name | Anasazi Denture Clinic, Llc |
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Speciality | Clinic/center - Dental |
Location | 18425 E Stirrup Ln, Rio Verde, Arizona |
Authorized Official Name and Position | Carmen Cain (PRESIDENT) |
Authorized Official Contact | 4804719560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anasazi Denture Clinic, Llc P.o.box 111 Dayton WA 99328 Ph: (480) 650-4234 | Anasazi Denture Clinic, Llc 18425 E Stirrup Ln Rio Verde AZ 85263-7114 Ph: (480) 471-9560 |
NPI Number | 1962733600 |
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Provider Enumeration Date | 01/20/2010 |
Last Update Date | 01/20/2010 |
Identifier | Type | State | Issuer |
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1962733600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN60082396 (Washington) | Primary |
302F00000X | Exclusive Provider Organization | DN60082396 (Washington) | Secondary |