# 16TH STREET DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043466782
- **Authorized official:** CARRIE FREEZE (OFFICE MANAGER)
- **Authorized official phone:** (928) 782-3839

## Contact information

- **Practice address:** 1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
- **Practice address phone:** (928) 782-3839
- **Practice address fax:** (928) 329-9029
- **Mailing address:** 1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
- **Mailing address phone:** (928) 782-3839
- **Mailing address fax:** (928) 329-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D7288 | AZ | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 08/13/2008