Organization · Type 2 NPI
DHHS Ihs Phoenix Area
Dental Clinic/Center · San Carlos, AZ
NPI number
1124398961
Active
Practice location
223 Cibecue Circle Road
San Carlos, AZ 85550-0208
Mailing address
PO Box 208
San Carlos, AZ 85550-0208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1124398961
DHHS Ihs Phoenix Area's National Provider Identifier is 1124398961, issued on Jan 11, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Carlos, AZ. The record was last updated on Jan 11, 2012.