Fort Mohave Dental Care Pllc

NPI #1750556932 in Fort Mohave, Arizona

Provider Information

NPI Number: 1750556932
Entity Type: Organization
Organization Name: Fort Mohave Dental Care Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2008
Last Updated: Mar 27, 2012

Practice Location

Address: 1501 E CAMP MOHAVE RD # 1
City: Fort Mohave
State: Arizona
ZIP Code: 86426-9406
Phone: (928) 758-8887

Authorized Official

Name: DR. MARK ALAN COLLINS, DDS
Title: OWNER
Phone: (928) 758-8887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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