| Pleasant Valley Dental Care, P.c. | |
|
2178 Mcculloch Blvd N Ste 14 Lake Havasu City AZ 86403-6869 | |
| (928) 855-5159 | |
| Not Available |
| Full Name | Pleasant Valley Dental Care, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2178 Mcculloch Blvd N Ste 14, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Kevin J Cebula (PRESIDENT) |
| Authorized Official Contact | 9288555159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Dental Care, P.c. 2178 Mcculloch Blvd N Ste 14 Lake Havasu City AZ 86403-6869 Ph: (928) 855-5159 | Pleasant Valley Dental Care, P.c. 2178 Mcculloch Blvd N Ste 14 Lake Havasu City AZ 86403-6869 Ph: (928) 855-5159 |
| NPI Number | 1538323266 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538323266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D5495 (Arizona) | Primary |
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