Fort Mojave Indian Health Center Dental | |
1607 Plantation Rd Mohave Valley AZ 86440-8420 | |
(928) 346-4679 | |
(928) 346-4686 |
Full Name | Fort Mojave Indian Health Center Dental |
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Speciality | Clinic/center - Dental |
Location | 1607 Plantation Rd, Mohave Valley, Arizona |
Authorized Official Name and Position | Timothy Williams (TRIBAL CHAIRMAN) |
Authorized Official Contact | 7606294591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fort Mojave Indian Health Center Dental 1607 Plantation Rd Mohave Valley AZ 86440-8420 Ph: (928) 346-4679 | Fort Mojave Indian Health Center Dental 1607 Plantation Rd Mohave Valley AZ 86440-8420 Ph: (928) 346-4679 |
NPI Number | 1457630279 |
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Provider Enumeration Date | 08/10/2011 |
Last Update Date | 08/10/2011 |
Identifier | Type | State | Issuer |
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1457630279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |