Yuma Dental LLC

NPI #1043652910 in Yuma, Arizona

Provider Information

NPI Number
1043652910
Entity Type
Organization
Organization Name
Yuma Dental LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 22, 2013
Last Updated
Jul 22, 2013

Practice Location

Address
2540 S 4TH AVE
City
Yuma
State
Arizona
ZIP Code
85364-7286
Phone
(928) 344-5700

Authorized Official

Name
DR. JUSTIN CHURCH, DMD
Title
OWNER
Phone
(480) 206-0139

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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