| Dental Clinic Of Yuma | |
|
240 E 24th St Yuma AZ 85364-8547 | |
| (928) 782-4369 | |
| (928) 782-4360 |
| Full Name | Dental Clinic Of Yuma |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 240 E 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Collet Masillamoni (OWNER) |
| Authorized Official Contact | 9287824369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic Of Yuma 240 E 24th St Yuma AZ 85364-8547 Ph: (928) 782-4369 | Dental Clinic Of Yuma 240 E 24th St Yuma AZ 85364-8547 Ph: (928) 782-4369 |
| NPI Number | 1215295951 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215295951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2726 (Arizona) | Primary |
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