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35 Mi N Of Jct Hwy 160 &hwy 98 Kaibeto Chapter House-dental Kaibeto AZ 86053 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | |
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Speciality | Clinic/center |
Location | 35 Mi N Of Jct Hwy 160 &hwy 98, Kaibeto, Arizona |
Authorized Official Name and Position | Joseph T Engelken (CEO) |
Authorized Official Contact | 9282832501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 600 Base Of Operations: 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2781 | 35 Mi N Of Jct Hwy 160 &hwy 98 Kaibeto Chapter House-dental Kaibeto AZ 86053 Ph: (928) 283-2501 |
NPI Number | 1134472111 |
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Provider Enumeration Date | 10/16/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
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1134472111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |