Dhhs Ihs Phoenix Area
NPI #1124398961 in San Carlos, Arizona
Provider Information
- NPI Number
- 1124398961
- Entity Type
- Organization
- Organization Name
- Dhhs Ihs Phoenix Area
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Jan 11, 2012
Practice Location
- Address
- 223 CIBECUE CIRCLE ROAD
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550-0208
- Phone
- (928) 475-7285
Authorized Official
- Name
- MRS. NELLA J. BEN
- Title
- CEO
- Phone
- (928) 475-7347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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