16th Street Dental Care

NPI #1043466782 in Yuma, Arizona

Provider Information

NPI Number: 1043466782
Entity Type: Organization
Organization Name: 16th Street Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 13, 2008
Last Updated: Aug 13, 2008

Practice Location

Address: 1325 W 16TH ST
Address 2: SUITE 4
City: Yuma
State: Arizona
ZIP Code: 85364-4496
Phone: (928) 782-3839

Authorized Official

Name: CARRIE FREEZE
Title: OFFICE MANAGER
Phone: (928) 782-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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