Organization · Type 2 NPI
DHHS Ihs Phoenix Area
Dental Clinic/Center · Cibecue, AZ
NPI number
1184874034
Active
Practice location
North Cromwell Road
Cibecue, AZ 85911
Fax (928) 338-5508
Mailing address
P.o. Box 860, 200 Hospital Drive
Whiteriver, AZ 85941-0860
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 1184874034
DHHS Ihs Phoenix Area's National Provider Identifier is 1184874034, issued on Sep 29, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cibecue, AZ. The record was last updated on Mar 27, 2012.