| Parker Dental | |
|
2872 Jamaica Blvd S Lake Havasu City AZ 86406-7707 | |
| (928) 733-6199 | |
| Not Available |
| Full Name | Parker Dental |
|---|---|
| Speciality | Clinic/center |
| Location | 2872 Jamaica Blvd S, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Ilan Shamos (OWNER) |
| Authorized Official Contact | 9287336199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Dental 2872 Jamaica Blvd S Lake Havasu City AZ 86406-7707 Ph: (928) 733-6199 | Parker Dental 2872 Jamaica Blvd S Lake Havasu City AZ 86406-7707 Ph: (928) 733-6199 |
| NPI Number | 1962056572 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962056572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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