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Dental Public Health

Parker, Arizona

Provider NPI: 1144366527

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
12033 AGENCY RD  PARKER, AZ 85344 US
Tel: 928-669-3154  Fax: 928-669-3151

Business Mailing Address:
16231 N 7TH DR  PHOENIX, AZ 85023 US
Tel: 928-669-3154  Fax: 928-669-3151

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223D0001XDental Providers
Dental Public Health
N1223D0001XDental Providers

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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