| Aesthetic Dental Care Of Arizona, P.c. | |
|
34 Lake Havasu Ave N Suite 5 Lake Havasu City AZ 86403-5638 | |
| (928) 453-5577 | |
| (928) 453-1661 |
| Full Name | Aesthetic Dental Care Of Arizona, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 34 Lake Havasu Ave N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Dee Dennis Moshos (PRESIDENT) |
| Authorized Official Contact | 9284535577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Care Of Arizona, P.c. 34 Lake Havasu Ave N Suite 5 Lake Havasu City AZ 86403-5638 Ph: (928) 453-5577 | Aesthetic Dental Care Of Arizona, P.c. 34 Lake Havasu Ave N Suite 5 Lake Havasu City AZ 86403-5638 Ph: (928) 453-5577 |
| NPI Number | 1003007956 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003007956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3216 (Arizona) | Primary |
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