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MANN PACIFIC DENTAL LLC NPI 1366039539


NPI Information

NPI: 1366039539
Provider Name: MANN PACIFIC DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1630 S PACIFIC AVE STE 104
YUMA, AZ
ZIP 85365
Phone: (510) 378-9802
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MANN PACIFIC DENTAL, LLC is a general practice dentist in Yuma, 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. MANN PACIFIC DENTAL, LLC NPI is 1366039539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1630 S PACIFIC AVE STE 104
YUMA, AZ
ZIP 85365-111
Phone: (510) 378-9802
Fax: (928) 783-0846

The provider's authorized official is Asham Deep Kaur .
The authorized official title is Ceo and has the following contact phone number (510) 378-9802.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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