| Dental Care At Madera Vista | |
|
140 W Duval Mine Rd Green Valley AZ 85614-5002 | |
| (520) 393-0006 | |
| (520) 547-3039 |
| Full Name | Dental Care At Madera Vista |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 W Duval Mine Rd, Green Valley, Arizona |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Madera Vista 140 W Duval Mine Rd Green Valley AZ 85614-5002 Ph: (520) 393-0006 | Dental Care At Madera Vista 140 W Duval Mine Rd Green Valley AZ 85614-5002 Ph: (520) 393-0006 |
| NPI Number | 1396148789 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396148789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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