| South Frontage Road Dental Pllc | |
|
11259 S Frontage Rd Ste 103 Yuma AZ 85367-7883 | |
| (928) 342-7351 | |
| Not Available |
| Full Name | South Frontage Road Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11259 S Frontage Rd Ste 103, Yuma, Arizona |
| Authorized Official Name and Position | Vicenta Reyes (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Frontage Road Dental Pllc 11259 S Frontage Rd Ste 103 Yuma AZ 85367-7883 Ph: (928) 342-7351 | South Frontage Road Dental Pllc 11259 S Frontage Rd Ste 103 Yuma AZ 85367-7883 Ph: (928) 342-7351 |
| NPI Number | 1497402465 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497402465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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