Dental Innovations-Winslow

NPI #1104461268 in Winslow, Arizona

Provider Information

NPI Number
1104461268
Entity Type
Organization
Organization Name
Dental Innovations-Winslow
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 13, 2019
Last Updated
Nov 13, 2019

Practice Location

Address
722 MIKE'S PIKE STREET
Address 2
#101
State
Arizona
ZIP Code
86047
Phone
(928) 289-3738

Authorized Official

Name
LAURA VAUGHN
Title
MANAGER
Phone
(623) 210-3416

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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