| Cl Valley Dental | |
|
5677 S Highway 95 Fort Mohave AZ 86426-6049 | |
| (928) 788-3359 | |
| (928) 768-6412 |
| Full Name | Cl Valley Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5677 S Highway 95, Fort Mohave, Arizona |
| Authorized Official Name and Position | Elizabeth Averlar (RDH) |
| Authorized Official Contact | 9287883359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cl Valley Dental 5677 S Highway 95 Fort Mohave AZ 86426-6049 Ph: (928) 788-3359 | Cl Valley Dental 5677 S Highway 95 Fort Mohave AZ 86426-6049 Ph: (928) 788-3359 |
| NPI Number | 1588316806 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588316806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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