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Organization
FORT MOJAVE INDIAN TRIBE
Active
Organization
FORT MOJAVE INDIAN TRIBE
Active
Other names
FORT MOJAVE INDIAN HEALTH CENTER DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WILLIAMS (TRIBAL CHAIRMAN)
(760) 629-4591
Entity
Organization
Contact information
Practice address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Mailing address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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