Lake Havasu Orthodontics Llc | |
2061 Smoketree Ave N Lake Havasu City AZ 86403-5811 | |
(928) 854-4141 | |
Not Available |
Full Name | Lake Havasu Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2061 Smoketree Ave N, Lake Havasu City, Arizona |
Authorized Official Name and Position | Ethan Larson (DOCTOR/OWNER) |
Authorized Official Contact | 2532832747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Havasu Orthodontics Llc 2212 E Aris Dr Gilbert AZ 85298-1205 Ph: (253) 283-2747 | Lake Havasu Orthodontics Llc 2061 Smoketree Ave N Lake Havasu City AZ 86403-5811 Ph: (928) 854-4141 |
NPI Number | 1225759111 |
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Provider Enumeration Date | 09/08/2022 |
Last Update Date | 09/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225759111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Aesthetic Dental Care Of Arizona, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Lake Havasu Ave N, Suite 5, Lake Havasu City, AZ 86403 Phone: 928-453-5577 Fax: 928-453-1661 | |
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