| Havasu Dentistry | |
|
1971 Mcculloch Blvd N #100 Lake Havasu City AZ 86403-6117 | |
| (928) 733-6070 | |
| (928) 733-6075 |
| Full Name | Havasu Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1971 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Laura Vaughn (MANAGER) |
| Authorized Official Contact | 9287336070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havasu Dentistry 1971 Mcculloch Blvd N #100 Lake Havasu City AZ 86403-6117 Ph: () - | Havasu Dentistry 1971 Mcculloch Blvd N #100 Lake Havasu City AZ 86403-6117 Ph: (928) 733-6070 |
| NPI Number | 1396198263 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396198263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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