| Bullheadcitydentist.com | |
|
3015 Highway 95 Suite 112 Bullhead City AZ 86442-4334 | |
| (928) 758-0008 | |
| (928) 758-0009 |
| Full Name | Bullheadcitydentist.com |
|---|---|
| Speciality | Dentist |
| Location | 3015 Highway 95, Bullhead City, Arizona |
| Authorized Official Name and Position | Carmen Woods (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullheadcitydentist.com 3015 Highway 95 Suite 112 Bullhead City AZ 86442-4334 Ph: (928) 758-0008 | Bullheadcitydentist.com 3015 Highway 95 Suite 112 Bullhead City AZ 86442-4334 Ph: (928) 758-0008 |
| NPI Number | 1760536957 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760536957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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