Organization · Type 2 NPI
Blue Ridge Family Dentistry, PC
Dental Clinic/Center · Pinetop, AZ
NPI number
1366914012
Active
Practice location
1450 E White Mountain Blvd Ste A
Pinetop, AZ 85935-7091
Mailing address
PO Box 3768
Pinetop, AZ 85935-3768
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 1366914012
Blue Ridge Family Dentistry, PC's National Provider Identifier is 1366914012, issued on Dec 19, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pinetop, AZ. The record was last updated on Dec 19, 2018.