Kaibeto Chapter-dental | |
35 Mi N Of Jct Hwy 160 &hwy 98 Kaibeto Chapter House-dental Kaibeto AZ 86053 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Kaibeto Chapter-dental |
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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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Kaibeto Chapter-dental Po Box 600 Base Of Operations: 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2781 | Kaibeto Chapter-dental 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 |
---|---|---|---|
1134472111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Kaibeto Chapter House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Mi N Of Jct Hwy 160 & Hwy 98, Kaibeto Chapter House, Kaibeto, AZ 86053 Phone: 928-283-2501 Fax: 928-283-2677 | |
Kaibeto Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Kaibeto Boarding School Dorm # 4, Kaibeto, AZ 86053 Phone: 928-673-3491 Fax: 928-673-3494 |