Fort Mojave Indian Tribe
NPI #1457630279 in Mohave Valley, Arizona
Provider Information
- NPI Number
- 1457630279
- Entity Type
- Organization
- Organization Name
- Fort Mojave Indian Tribe
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 10, 2011
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 1607 PLANTATION RD
- City
- Mohave Valley
- State
- Arizona
- ZIP Code
- 86440-8420
- Phone
- (928) 346-4679
Authorized Official
- Name
- MR. TIMOTHY WILLIAMS
- Title
- TRIBAL CHAIRMAN
- Phone
- (760) 629-4591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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