| Anasazi Denture Clinic, Llc | |
|
18425 E Stirrup Ln Rio Verde AZ 85263-7114 | |
| (480) 471-9560 | |
| Not Available |
| Full Name | Anasazi Denture Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18425 E Stirrup Ln, Rio Verde, Arizona |
| Authorized Official Name and Position | Carmen Cain (PRESIDENT) |
| Authorized Official Contact | 4804719560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anasazi Denture Clinic, Llc P.o.box 111 Dayton WA 99328 Ph: (480) 650-4234 | Anasazi Denture Clinic, Llc 18425 E Stirrup Ln Rio Verde AZ 85263-7114 Ph: (480) 471-9560 |
| NPI Number | 1962733600 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962733600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN60082396 (Washington) | Primary |
| 302F00000X | Exclusive Provider Organization | DN60082396 (Washington) | Secondary |