| Vip Family And Sedation Dentistry, Pllc | |
|
830 S Main St Ste 1d Cottonwood AZ 86326-4621 | |
| (928) 634-5566 | |
| (928) 634-5566 |
| Full Name | Vip Family And Sedation Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 830 S Main St Ste 1d, Cottonwood, Arizona |
| Authorized Official Name and Position | Massoud Eftekhari (DENTIST/OWNER) |
| Authorized Official Contact | 6024308462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Family And Sedation Dentistry, Pllc 14524 N 106th Pl Scottsdale AZ 85255-8595 Ph: (602) 430-8462 | Vip Family And Sedation Dentistry, Pllc 830 S Main St Ste 1d Cottonwood AZ 86326-4621 Ph: (928) 634-5566 |
| NPI Number | 1528567575 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528567575 | NPI | - | NPPES |
| 1659524692 | Other | AZ | NPI INDIVIDUAL |
| 496932 | Medicaid | AZ | |
| 4954 | Other | AZ | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4954 (Arizona) | Primary |
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Cottonwood Children's Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Alamos Dr, Cottonwood, AZ 86326 Phone: 928-634-6641 | |
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