| Society Of St. Vincent De Paul | |
|
420 W Watkins Rd Phoenix AZ 85003-2830 | |
| (602) 261-6874 | |
| (602) 261-6816 |
| Full Name | Society Of St. Vincent De Paul |
|---|---|
| Speciality | Dentist |
| Location | 420 W Watkins Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Floyd Kenneth Snyder (DENTAL CLINIC DIRECTOR) |
| Authorized Official Contact | 6022616825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Society Of St. Vincent De Paul 420 W Watkins Rd Phoenix AZ 85003-2830 Ph: (602) 261-6874 | Society Of St. Vincent De Paul 420 W Watkins Rd Phoenix AZ 85003-2830 Ph: (602) 261-6874 |
| NPI Number | 1275687790 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275687790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AZ2056 (Arizona) | Primary |
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