| Mohave Dental Associates Pc | |
|
4601 Stockton Hill Road Kingman AZ 86409 | |
| (928) 757-3225 | |
| (928) 757-7477 |
| Full Name | Mohave Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 4601 Stockton Hill Road, Kingman, Arizona |
| Authorized Official Name and Position | Clark Earl Melstrom (OWNER) |
| Authorized Official Contact | 9287573225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohave Dental Associates Pc 4601 Stockton Hill Road Kingman AZ 86409 Ph: (928) 757-3225 | Mohave Dental Associates Pc 4601 Stockton Hill Road Kingman AZ 86409 Ph: (928) 757-3225 |
| NPI Number | 1942266846 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942266846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2714 (Arizona) | Primary |
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