Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
NPI #1578618831 in Camp Verde, Arizona
Provider Information
- NPI Number
- 1578618831
- Entity Type
- Organization
- Organization Name
- Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 24, 2007
- Last Updated
- May 26, 2021
Practice Location
- Address
- 2121 WEST RESERVATION LOOP ROAD
- City
- Camp Verde
- State
- Arizona
- ZIP Code
- 86322-8412
- Phone
- (602) 263-1200
Authorized Official
- Name
- LAURA A TILLMAN
- Title
- CMO
- Phone
- (602) 263-1674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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