| Dental Innovations-winslow | |
|
722 Mike's Pike Street #101 Winslow AZ 86047 | |
| (928) 289-3738 | |
| Not Available |
| Full Name | Dental Innovations-winslow |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 722 Mike's Pike Street, Winslow, Arizona |
| Authorized Official Name and Position | Laura Vaughn (MANAGER) |
| Authorized Official Contact | 6232103416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Innovations-winslow 34225 N 27th Dr Bldg 5 Ste 241 Phoenix AZ 85085 Ph: () - | Dental Innovations-winslow 722 Mike's Pike Street #101 Winslow AZ 86047 Ph: (928) 289-3738 |
| NPI Number | 1104461268 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104461268 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Winslow Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 W Second St, Winslow, AZ 86047 Phone: 928-289-4441 | |
Winslow Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 W Second St, Winslow, AZ 86047 Phone: 928-289-4441 |