Organization
AVENUE B DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SLATER DDS (OWNER/ DOCTOR)
(602) 471-4535
Entity
Organization
Contact information
Practice address
1460 S AVENUE B, YUMA, AZ 85364-4332
(928) 344-3067
Mailing address
1460 S AVENUE B, YUMA, AZ 85364-4332
(928) 344-3067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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