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2235 Corral Rd Sedona AZ 86336-3272 | |
(928) 300-3546 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2235 Corral Rd, Sedona, Arizona |
Authorized Official Name and Position | Roy Gwenn Daniels (OWNER/OFFICER) |
Authorized Official Contact | 9283003546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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130 Navajo Dr Sedona AZ 86336-3718 Ph: (928) 282-3246 | 2235 Corral Rd Sedona AZ 86336-3272 Ph: (928) 300-3546 |
NPI Number | 1790015360 |
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Provider Enumeration Date | 01/05/2010 |
Last Update Date | 02/04/2024 |
Identifier | Type | State | Issuer |
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1790015360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3155 (Arizona) | Primary |
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