Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Lakeview Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CARMEN WOODS (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Mailing address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
02/04/2014
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