| Just For Kids Dentistry Lake Havasu | |
|
80 Acoma Blvd S Suite 102 Lake Havasu City AZ 86403-6925 | |
| (928) 855-7717 | |
| (928) 855-7718 |
| Full Name | Just For Kids Dentistry Lake Havasu |
|---|---|
| Speciality | Dentist |
| Location | 80 Acoma Blvd S, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Ronald A Dicarlo (OWNER) |
| Authorized Official Contact | 9287187188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just For Kids Dentistry Lake Havasu 80 Acoma Blvd S Suite 102 Lake Havasu City AZ 86403-6925 Ph: (928) 855-7717 | Just For Kids Dentistry Lake Havasu 80 Acoma Blvd S Suite 102 Lake Havasu City AZ 86403-6925 Ph: (928) 855-7717 |
| NPI Number | 1932354974 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932354974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6061 (Arizona) | Primary |
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