Douglas Dental, Llc | |
1915 E 10th St Douglas AZ 85607-2407 | |
(520) 459-3067 | |
(520) 459-0113 |
Full Name | Douglas Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1915 E 10th St, Douglas, Arizona |
Authorized Official Name and Position | Angela Maria Bejarano (ACCOUNTS RECEIVABLE) |
Authorized Official Contact | 5204593067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglas Dental, Llc 1915 E 10th St Douglas AZ 85607-2407 Ph: (520) 459-3067 | Douglas Dental, Llc 1915 E 10th St Douglas AZ 85607-2407 Ph: (520) 459-3067 |
NPI Number | 1508001660 |
---|---|
Provider Enumeration Date | 12/03/2008 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508001660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |