| Changeover Solutions Llc | |
|
4051 E Jaxon St San Luis AZ 85336-0428 | |
| (623) 522-6580 | |
| Not Available |
| Full Name | Changeover Solutions Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4051 E Jaxon St, San Luis, Arizona |
| Authorized Official Name and Position | Jose Manuel Castro (MANAGING DIRECTOR) |
| Authorized Official Contact | 6235226580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changeover Solutions Llc Po Box 764 San Luis AZ 85349-0764 Ph: (928) 240-9057 | Changeover Solutions Llc 4051 E Jaxon St San Luis AZ 85336-0428 Ph: (623) 522-6580 |
| NPI Number | 1720850720 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720850720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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