Anasazi Denture Clinic, LLC

NPI #1962733600 in Rio Verde, Arizona

Provider Information

NPI Number: 1962733600
Entity Type: Organization
Organization Name: Anasazi Denture Clinic, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 18425 E STIRRUP LN
City: Rio Verde
State: Arizona
ZIP Code: 85263-7114
Phone: (480) 471-9560

Authorized Official

Name: CARMEN CAIN, CDT, LD, DN
Title: PRESIDENT
Phone: (480) 471-9560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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