Organization
CL VALLEY DENTAL
Active
Parent organization
CL VALLEY DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CL VALLEY DENTAL LLC
Authorized official
ELIZABETH AVERLAR (RDH)
(928) 788-3359
Entity
Organization
Contact information
Practice address
5677 S HIGHWAY 95, FORT MOHAVE, AZ 86426-6049
(928) 788-3359
(928) 768-6412
Mailing address
5677 S HIGHWAY 95, FORT MOHAVE, AZ 86426-6049
(928) 788-3359
(928) 768-6412
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/20/2022
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