| 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 |
|---|---|
| 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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