Organization
VALLEY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W. WHITE D.D.S. (OWNER)
(928) 763-8111
Entity
Organization
Contact information
Practice address
1360 RAMAR RD, BULLHEAD CITY, AZ 86442-7146
(928) 763-8111
(928) 763-4137
Mailing address
1360 RAMAR RD, BULLHEAD CITY, AZ 86442-7146
(928) 763-8111
(928) 763-4137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2833
AZ
Other
Enumeration date
06/27/2007
Last updated
05/11/2011
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