| Desert Senita Dental Center | |
|
410 N Malacate St Ajo AZ 85321-2254 | |
| (520) 387-5651 | |
| (520) 387-3509 |
| Full Name | Desert Senita Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 N Malacate St, Ajo, Arizona |
| Authorized Official Name and Position | Daniel Barbara (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5203875651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Senita Dental Center 410 N Malacate St Ajo AZ 85321-2254 Ph: (520) 387-4500 | Desert Senita Dental Center 410 N Malacate St Ajo AZ 85321-2254 Ph: (520) 387-5651 |
| NPI Number | 1447388046 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447388046 | NPI | - | NPPES |
| 155681 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |