| The River's Edge Dental | |
|
1185 N Arizona Blvd Coolidge AZ 85128 | |
| (435) 518-3343 | |
| Not Available |
| Full Name | The River's Edge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1185 N Arizona Blvd, Coolidge, Arizona |
| Authorized Official Name and Position | Marvin Blane Jackson (OWNER / DENTIST) |
| Authorized Official Contact | 4356372100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The River's Edge Dental 1185 N Arizona Blvd Coolidge AZ 85128 Ph: () - | The River's Edge Dental 1185 N Arizona Blvd Coolidge AZ 85128 Ph: (435) 518-3343 |
| NPI Number | 1265085567 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265085567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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