| Pediatric Dentistry Of Yuma, Inc. | |
|
2359 S 22nd Dr Suite 1 Yuma AZ 85364-8871 | |
| (928) 329-9565 | |
| (928) 783-0669 |
| Full Name | Pediatric Dentistry Of Yuma, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2359 S 22nd Dr, Yuma, Arizona |
| Authorized Official Name and Position | Brian L. Cullen (PRESIDENT) |
| Authorized Official Contact | 9283299565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Yuma, Inc. 2359 S 22nd Dr Suite 1 Yuma AZ 85364-8871 Ph: (928) 329-9565 | Pediatric Dentistry Of Yuma, Inc. 2359 S 22nd Dr Suite 1 Yuma AZ 85364-8871 Ph: (928) 329-9565 |
| NPI Number | 1447399233 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447399233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | AZ4111 (Arizona) | Primary |
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