| Arizona Dental Sleep Therapy | |
|
1845 Mcculloch Blvd N Ste A1 Lake Havasu City AZ 86403-5722 | |
| (928) 855-7700 | |
| (928) 855-7703 |
| Full Name | Arizona Dental Sleep Therapy |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1845 Mcculloch Blvd N Ste A1, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Ronnie Lynn Cook (DOCTOR) |
| Authorized Official Contact | 9288557700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Dental Sleep Therapy 1845 Mcculloch Blvd N Ste A1 Lake Havasu City AZ 86403-5722 Ph: (928) 855-7700 | Arizona Dental Sleep Therapy 1845 Mcculloch Blvd N Ste A1 Lake Havasu City AZ 86403-5722 Ph: (928) 855-7700 |
| NPI Number | 1760773907 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760773907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | AZ1687 (Arizona) | Primary |
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