Montezuma Family Dental | |
4283 N Pima Way Lake Montezuma AZ 86342 | |
(928) 202-4787 | |
(928) 233-6904 |
Full Name | Montezuma Family Dental |
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Speciality | Dentist - General Practice |
Location | 4283 N Pima Way, Lake Montezuma, Arizona |
Authorized Official Name and Position | Ryan Carter (DENTIST) |
Authorized Official Contact | 9282024787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montezuma Family Dental Po Box 5682 Lake Montezuma AZ 86342-5682 Ph: (928) 202-4787 | Montezuma Family Dental 4283 N Pima Way Lake Montezuma AZ 86342 Ph: (928) 202-4787 |
NPI Number | 1992171532 |
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Provider Enumeration Date | 08/18/2015 |
Last Update Date | 08/18/2015 |
Identifier | Type | State | Issuer |
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1992171532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |