Organization
CENTRAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN S CLUFF RDH AZ LIC NO H4143 (OWNER HYGIENIST)
(928) 428-2750
Entity
Organization
Contact information
Practice address
1807 THATCHER BLVD, SAFFORD, AZ 85546
(928) 428-2750
(928) 428-9460
Mailing address
PO BOX 187, SAFFORD, AZ 85548
(928) 428-2750
(928) 428-9460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3604
AZ
1223G0001X
General Practice Dentistry
4223
AZ
1223G0001X
General Practice Dentistry
D1502
AZ
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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