Organization
MANN PACIFIC DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHAM DEEP KAUR (CEO)
(510) 378-9802
Entity
Organization
Contact information
Practice address
1630 S PACIFIC AVE STE 104, YUMA, AZ 85365-2111
(510) 378-9802
(928) 783-0846
Mailing address
1630 S PACIFIC AVE STE 104, YUMA, AZ 85365-2111
(510) 378-9802
(928) 783-0846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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