| Rio Colorado Dental Inc | |
|
1467 Palma Road Suite 3 Bullhead City AZ 86442 | |
| (928) 763-2515 | |
| (928) 758-4267 |
| Full Name | Rio Colorado Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1467 Palma Road, Bullhead City, Arizona |
| Authorized Official Name and Position | Frederick Brock Lamb (PRESIDENT) |
| Authorized Official Contact | 9287632515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Colorado Dental Inc 1467 Palma Road Suite 3 Bullhead City AZ 86442 Ph: (928) 763-2515 | Rio Colorado Dental Inc 1467 Palma Road Suite 3 Bullhead City AZ 86442 Ph: (928) 763-2515 |
| NPI Number | 1649342510 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649342510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2092 (Arizona) | Primary |
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