Ivan F Pacheco, DMD

NPI #1073553632 in Tuba City, Arizona

Provider Information

NPI Number: 1073553632
Entity Type: Individual
Name: Ivan F Pacheco, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 8, 2006
Last Updated: Mar 31, 2009

Practice Location

Address: 167 NORTH MAIN STREET
City: Tuba City
State: Arizona
ZIP Code: 86045-0600
Phone: (928) 283-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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