| San Tam Dental Care & Mobile Clinic Pc | |
|
22240 S Ellsworth Rd Suite 102 Queen Creek AZ 85242 | |
| (480) 987-9220 | |
| (480) 987-0502 |
| Full Name | San Tam Dental Care & Mobile Clinic Pc |
|---|---|
| Speciality | Dentist |
| Location | 22240 S Ellsworth Rd, Queen Creek, Arizona |
| Authorized Official Name and Position | Christine Lynn Dimero Claveria (PRESIDENT DENTIST) |
| Authorized Official Contact | 4809879220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Tam Dental Care & Mobile Clinic Pc 22240 S Ellsworth Rd Suite 102 Queen Creek AZ 85242 Ph: (480) 987-9220 | San Tam Dental Care & Mobile Clinic Pc 22240 S Ellsworth Rd Suite 102 Queen Creek AZ 85242 Ph: (480) 987-9220 |
| NPI Number | 1477767010 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477767010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3335 (Arizona) | Primary |
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