Organization
AESTHETIC DENTAL CARE OF ARIZONA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEE DENNIS MOSHOS D.D.S. (PRESIDENT)
(928) 453-5577
Entity
Organization
Contact information
Practice address
34 LAKE HAVASU AVE N, SUITE 5, LAKE HAVASU CITY, AZ 86403-5638
(928) 453-5577
(928) 453-1661
Mailing address
34 LAKE HAVASU AVE N, SUITE 5, LAKE HAVASU CITY, AZ 86403-5638
(928) 453-5577
(928) 453-1661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3216
AZ
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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