Carl Peiser, D.d.s. | |
1525 South Creel Ave Pinetop AZ 85935 | |
(928) 367-1682 | |
(928) 367-2702 |
Full Name | Carl Peiser, D.d.s. |
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Speciality | Dentist |
Location | 1525 South Creel Ave, Pinetop, Arizona |
Authorized Official Name and Position | Carl J Peiser (OWNER) |
Authorized Official Contact | 9283671682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carl Peiser, D.d.s. Po Box 312 Pinetop AZ 85935-0312 Ph: (928) 367-1682 | Carl Peiser, D.d.s. 1525 South Creel Ave Pinetop AZ 85935 Ph: (928) 367-1682 |
NPI Number | 1013109727 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013109727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1724 (Arizona) | Primary |
Blue Ridge Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 E White Mountain Blvd Ste A, Pinetop, AZ 85935 Phone: 928-367-4466 |