| Cl Dds Pllc | |
|
1260 S Hwy 89 Ste G Chino Valley AZ 86323-6624 | |
| (928) 237-1305 | |
| Not Available |
| Full Name | Cl Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 S Hwy 89 Ste G, Chino Valley, Arizona |
| Authorized Official Name and Position | Cheryl Ligon (CEO) |
| Authorized Official Contact | 4027404757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cl Dds Pllc 1260 S Hwy 89 Ste G Chino Valley AZ 86323-6624 Ph: (928) 237-1305 | Cl Dds Pllc 1260 S Hwy 89 Ste G Chino Valley AZ 86323-6624 Ph: (928) 237-1305 |
| NPI Number | 1861198921 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861198921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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