| Yuma Dentistry 4 Kids Pllc | |
|
2816 S 4th Ave Ste C&d Yuma AZ 85364-8101 | |
| (928) 726-6023 | |
| (928) 726-2945 |
| Full Name | Yuma Dentistry 4 Kids Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2816 S 4th Ave Ste C&d, Yuma, Arizona |
| Authorized Official Name and Position | Bradley Roberts (OWNER) |
| Authorized Official Contact | 9287266023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yuma Dentistry 4 Kids Pllc 2816 S 4th Ave Ste C&d Yuma AZ 85364-8101 Ph: (928) 726-6023 | Yuma Dentistry 4 Kids Pllc 2816 S 4th Ave Ste C&d Yuma AZ 85364-8101 Ph: (928) 726-6023 |
| NPI Number | 1396095816 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396095816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D04964 (Arizona) | Primary |
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