San Tam Dental Care & Mobile Clinic PC

NPI #1477767010 in Queen Creek, Arizona

Provider Information

NPI Number: 1477767010
Entity Type: Organization
Organization Name: San Tam Dental Care & Mobile Clinic PC
Primary Specialty: Dentist
Enumeration Date: May 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 22240 S ELLSWORTH RD
Address 2: SUITE 102
City: Queen Creek
State: Arizona
ZIP Code: 85242
Phone: (480) 987-9220

Authorized Official

Name: DR. CHRISTINE LYNN DIMERO CLAVERIA, DMD
Title: PRESIDENT DENTIST
Phone: (480) 987-9220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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