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401 Picacho Road Winterhaven CA 92283 | |
(760) 572-4100 | |
(760) 572-2133 |
Full Name | |
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Speciality | Dentist |
Location | 401 Picacho Road, Winterhaven, California |
Authorized Official Name and Position | Cindy S Baldwin (CHIEF EXECUTIVE OFFICE) |
Authorized Official Contact | 7605724100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1368 Yuma AZ 85366 Ph: (760) 572-4100 | 401 Picacho Road Winterhaven CA 92283 Ph: (760) 572-4100 |
NPI Number | 1649432121 |
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Provider Enumeration Date | 06/26/2008 |
Last Update Date | 04/20/2018 |
Identifier | Type | State | Issuer |
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1649432121 | NPI | - | NPPES |
020211 | Medicaid | AZ | |
P0201800 | Other | AZ | BLUE CROSS |
HSZ078 | Other | MCARE GRP # | |
092370 | Medicaid | AZ |