Organization
LAKE HAVASU CITY VALLEY DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY ANN HORN (ADMINISTRATIVE DIRECTOR)
(928) 855-5041
Entity
Organization
Contact information
Practice address
1939 MCCULLOCH BLVD N, STE 2, LAKE HAVASU CITY, AZ 86403-5652
(928) 855-5041
(928) 855-2757
Mailing address
1939 MCCULLOCH BLVD, #2, LAKE HAVASU CITY, AZ 86403
(928) 855-5041
(928) 855-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AZ
Other
Enumeration date
07/16/2006
Last updated
07/21/2022
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