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Highway 86, Mile Marker 74 Sells AZ 85634 | |
(520) 362-7003 | |
(520) 383-7009 |
Full Name | |
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Speciality | Dentist |
Location | Highway 86, Mile Marker 74, Sells, Arizona |
Authorized Official Name and Position | Edward Manuel (CHAIRMAN) |
Authorized Official Contact | 5203832028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 810 Sells AZ 85634-0810 Ph: (520) 383-7200 | Highway 86, Mile Marker 74 Sells AZ 85634 Ph: (520) 362-7003 |
NPI Number | 1508319237 |
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Provider Enumeration Date | 07/29/2016 |
Last Update Date | 07/29/2016 |
Identifier | Type | State | Issuer |
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1508319237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 122300000X (Arizona) | Primary |