Lechee Chapter-dental | |
3 Mi S Of Page On Nr-20 Coppermine Rd Lechee Chapter-dental Page AZ 86040 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Lechee Chapter-dental |
---|---|
Speciality | Clinic/center |
Location | 3 Mi S Of Page On Nr-20 Coppermine Rd, Page, 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 |
---|---|
Lechee Chapter-dental Po Box 600 Base Of Operations: 167 N. Main St. Tuba City AZ 86045-0600 Ph: (928) 283-2781 | Lechee Chapter-dental 3 Mi S Of Page On Nr-20 Coppermine Rd Lechee Chapter-dental Page AZ 86040 Ph: (928) 283-2501 |
NPI Number | 1053664508 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053664508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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