| Douglas Dental, Llc | |
|
1915 E 10th St Douglas AZ 85607-2407 | |
| (520) 459-3067 | |
| (520) 459-0113 |
| Full Name | Douglas Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1915 E 10th St, Douglas, Arizona |
| Authorized Official Name and Position | Angela Maria Bejarano (ACCOUNTS RECEIVABLE) |
| Authorized Official Contact | 5204593067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Dental, Llc 1915 E 10th St Douglas AZ 85607-2407 Ph: (520) 459-3067 | Douglas Dental, Llc 1915 E 10th St Douglas AZ 85607-2407 Ph: (520) 459-3067 |
| NPI Number | 1508001660 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508001660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |