| Dhhs Ihs Phoenix Area | |
|
223 Cibecue Circle Road San Carlos AZ 85550-0208 | |
| (928) 475-7285 | |
| Not Available |
| Full Name | Dhhs Ihs Phoenix Area |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 223 Cibecue Circle Road, San Carlos, Arizona |
| Authorized Official Name and Position | Nella J. Ben (CEO) |
| Authorized Official Contact | 9284757347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhhs Ihs Phoenix Area Po Box 208 San Carlos AZ 85550-0208 Ph: (928) 475-7285 | Dhhs Ihs Phoenix Area 223 Cibecue Circle Road San Carlos AZ 85550-0208 Ph: (928) 475-7285 |
| NPI Number | 1124398961 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dhhs Ihs Phoenix Area Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Cibecue Circle Road, San Carlos, AZ 85550 Phone: 928-475-7285 |