| |
14650 N Del Webb Blvd Sun City AZ 85351-2147 | |
(623) 876-8011 | |
(623) 876-8902 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 14650 N Del Webb Blvd, Sun City, Arizona |
Authorized Official Name and Position | Hannah Fish (CREDENTIALING MANAGER) |
Authorized Official Contact | 2175405699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14650 N Del Webb Blvd Sun City AZ 85351-2147 Ph: (623) 876-8011 | 14650 N Del Webb Blvd Sun City AZ 85351-2147 Ph: (623) 876-8011 |
NPI Number | 1992848964 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 09/18/2023 |
Identifier | Type | State | Issuer |
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1992848964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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