Mann Fortuna Dental, LLC

NPI #1457948622 in Yuma, Arizona

Provider Information

NPI Number: 1457948622
Entity Type: Organization
Organization Name: Mann Fortuna Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 22, 2020
Last Updated: Dec 22, 2020

Practice Location

Address: 11231 COMMERCIAL CENTER LOOP STE 105
City: Yuma
State: Arizona
ZIP Code: 85367-7474
Phone: (928) 783-8300

Authorized Official

Name: ASHAM DEEP KAUR
Title: CEO
Phone: (510) 378-9802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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