Individual
DR. GERMAN ANTONIO SIERRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 W CENTER ST, SNOWFLAKE, AZ 85937-5211
(928) 536-7158
(928) 536-2640
Mailing address
PO BOX 780, SNOWFLAKE, AZ 85937-0780
(928) 536-7158
(928) 536-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
PREMIER ACCESS
—
01
—
4607
DELTA DENTAL
—
01
—
AZ0489570
BCBS
—
01
—
UC991320
UNITED CONCORDIA
—
Enumeration date
04/19/2006
Last updated
07/09/2007
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