| Montezuma Family Dental | |
|
4283 N Pima Way Lake Montezuma AZ 86342 | |
| (928) 202-4787 | |
| (928) 233-6904 |
| Full Name | Montezuma Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4283 N Pima Way, Lake Montezuma, Arizona |
| Authorized Official Name and Position | Ryan Carter (DENTIST) |
| Authorized Official Contact | 9282024787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montezuma Family Dental Po Box 5682 Lake Montezuma AZ 86342-5682 Ph: (928) 202-4787 | Montezuma Family Dental 4283 N Pima Way Lake Montezuma AZ 86342 Ph: (928) 202-4787 |
| NPI Number | 1992171532 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992171532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |