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Highway 86 And Topawa Road Sells AZ 85634 | |
(520) 383-7251 | |
(520) 383-7216 |
Full Name | |
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Speciality | Dentist - Dental Public Health |
Location | Highway 86 And Topawa Road, Sells, Arizona |
Authorized Official Name and Position | Kurt Priessman (ACCOUNTING AND BUDGET OFFICER) |
Authorized Official Contact | 5202952427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2427 | Highway 86 And Topawa Road Sells AZ 85634 Ph: (520) 383-7251 |
NPI Number | 1558344358 |
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Provider Enumeration Date | 11/25/2005 |
Last Update Date | 01/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558344358 | NPI | - | NPPES |
AZ0209610 | Other | AZ | BC/BSAZ DENTAL PROV NO |
1487652426 | Other | AZ | FACILITY NPI # |
1558344358 | Other | AZ | DENTAL NPI # |
004101-03 | Medicaid | AZ | |
0325642 | Other | AZ | NACADP # |