SAN CARLOS APACHE HEALTHCARE CORPORATION NPI 1356790059

NPI Information

SAN CARLOS APACHE HEALTHCARE CORPORATION is a general practice dentist in Peridot, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SAN CARLOS APACHE HEALTHCARE CORPORATION NPI is 1356790059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 MEDICINE WAY ROAD
PERIDOT, AZ
ZIP 85542
Phone: (928) 475-1200

The provider's authorized official is Victoria Began .
The authorized official title is Interim Ceo and has the following contact phone number (928) 475-1200.

The enumeration date for this NPI number is 6/3/2016 and was last updated on 6/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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