South Frontage Road Dental Pllc

NPI #1497402465 in Yuma, Arizona

Provider Information

NPI Number: 1497402465
Entity Type: Organization
Organization Name: South Frontage Road Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2022
Last Updated: Mar 9, 2022

Practice Location

Address: 11259 S FRONTAGE RD STE 103
City: Yuma
State: Arizona
ZIP Code: 85367-7883
Phone: (928) 342-7351

Authorized Official

Name: VICENTA REYES
Title: CREDENTIALING LEAD
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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