Orthodontics Of Yuma, P.c, | |
1030 W 24th St Ste C-1 Yuma AZ 85364-8319 | |
(928) 343-9559 | |
Not Available |
Full Name | Orthodontics Of Yuma, P.c, |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1030 W 24th St Ste C-1, Yuma, Arizona |
Authorized Official Name and Position | Joseph A. Wilson (OWNER) |
Authorized Official Contact | 5053258858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orthodontics Of Yuma, P.c, 4760 N Butler Ave Ste B1 Farmington NM 87401-0816 Ph: (505) 325-8858 | Orthodontics Of Yuma, P.c, 1030 W 24th St Ste C-1 Yuma AZ 85364-8319 Ph: (928) 343-9559 |
NPI Number | 1154742377 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154742377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8613 (Arizona) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8613 (Arizona) | Primary |
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