Individual
DR. LYDIA PURVIS WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE PHS HOSPITAL, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX #649, FORT DEFIANCE PHS HOSPITAL, FORT DEFIANCE, AZ 86504
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2300
MT
122300000X
Dentist
Primary
6265
OK
Other
Enumeration date
07/08/2008
Last updated
07/25/2011
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