Sage Dental Clinic | |
Us 191 & Az 264 Ganado AZ 86505-0457 | |
(928) 755-4500 | |
(928) 755-4934 |
Full Name | Sage Dental Clinic |
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Speciality | Clinic/center - Dental |
Location | Us 191 & Az 264, Ganado, Arizona |
Authorized Official Name and Position | Andrea C Curley (MEDIAL STAFF CREDENTIALIST) |
Authorized Official Contact | 9287554500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sage Dental Clinic Po Box 457 Ganado AZ 86505-0457 Ph: (928) 755-4500 | Sage Dental Clinic Us 191 & Az 264 Ganado AZ 86505-0457 Ph: (928) 755-4500 |
NPI Number | 1801013487 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 10/31/2024 |
Identifier | Type | State | Issuer |
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1801013487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | RGH3899 (Arizona) | Primary |