Organization
16TH STREET DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FREEZE (OFFICE MANAGER)
(928) 782-3839
Entity
Organization
Contact information
Practice address
1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
(928) 782-3839
(928) 329-9029
Mailing address
1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
(928) 782-3839
(928) 329-9029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7288
AZ
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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