Dhhs Ihs Phoenix Area
NPI #1144347501 in Whiteriver, Arizona
Provider Information
- NPI Number
- 1144347501
- Entity Type
- Organization
- Organization Name
- Dhhs Ihs Phoenix Area
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DHHS IHS PHOENIX AREA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Dec 27, 2011
Practice Location
- Address
- 200 WEST HOSPITAL WAY
- City
- Whiteriver
- State
- Arizona
- ZIP Code
- 85941-0860
- Phone
- (928) 338-4911
Authorized Official
- Name
- MICHELLE MARTINEZ, FNP
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (928) 338-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dental Hygienist |
| Clinic/Center - Dental — Dental |
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