Organization
FORT MOJAVE INDIAN TRIBE
Active
Other names
FORT MOJAVE INDIAN HEALTH CENTER DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WILLIAMS (TRIBAL CHAIRMAN)
(760) 629-4591
Entity
Organization
Contact information
Practice address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Mailing address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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