Organization · Type 2 NPI
Anasazi Denture Clinic, LLC
Dental Clinic/Center · Rio Verde, AZ
NPI number
1962733600
Active
Practice location
18425 E Stirrup Ln
Rio Verde, AZ 85263-7114
Mailing address
P.o.box 111
Dayton, WA 99328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN60082396 (WA) |
| Exclusive Provider Organization | 302F00000X | DN60082396 (WA) |
Dental Clinic/Center: Definition to come...
About NPI 1962733600
Anasazi Denture Clinic, LLC's National Provider Identifier is 1962733600, issued on Jan 20, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rio Verde, AZ. The record was last updated on Jan 20, 2010.