Individual
SHANE CURLEYHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8132
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10046
AZ
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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