| Jennings & Larson Family Dentistry- Fort Mohave | |
|
5221 Hwy 95 Ste 4 Fort Mohave AZ 86426-9244 | |
| (928) 577-2533 | |
| Not Available |
| Full Name | Jennings & Larson Family Dentistry- Fort Mohave |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5221 Hwy 95 Ste 4, Fort Mohave, Arizona |
| Authorized Official Name and Position | Thadd Jennings (MEMBER) |
| Authorized Official Contact | 9282015588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings & Larson Family Dentistry- Fort Mohave 5221 Hwy 95 Ste 4 Fort Mohave AZ 86426-9244 Ph: (928) 577-2533 | Jennings & Larson Family Dentistry- Fort Mohave 5221 Hwy 95 Ste 4 Fort Mohave AZ 86426-9244 Ph: (928) 577-2533 |
| NPI Number | 1861908857 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861908857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kktz Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5221 S Highway 95 Ste 4, Fort Mohave, AZ 86426 Phone: 928-577-2533 Fax: 928-577-2518 | |
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