Cl Valley Dental
NPI #1588316806 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1588316806
- Entity Type
- Organization
- Organization Name
- Cl Valley Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CL VALLEY DENTAL LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 5677 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-6049
- Phone
- (928) 788-3359
Authorized Official
- Name
- ELIZABETH AVERLAR
- Title
- RDH
- Phone
- (928) 788-3359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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