| Fort Mojave Indian Tribe | |
|
1607 Plantation Rd Mohave Valley AZ 86440-8420 | |
| (928) 346-4679 | |
| (928) 346-4686 |
| Full Name | Fort Mojave Indian Tribe |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1607 Plantation Rd, Mohave Valley, Arizona |
| Authorized Official Name and Position | Timothy Williams (TRIBAL CHAIRMAN) |
| Authorized Official Contact | 7606294591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Mojave Indian Tribe 1607 Plantation Rd Mohave Valley AZ 86440-8420 Ph: (928) 346-4679 | Fort Mojave Indian Tribe 1607 Plantation Rd Mohave Valley AZ 86440-8420 Ph: (928) 346-4679 |
| NPI Number | 1457630279 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457630279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |