| Coppermine Chapter-dental | |
|
26 Miles S. Of Page On Nr-20 Coppermine Chapter - Dental Page AZ 86040 | |
| (928) 283-2501 | |
| (928) 283-2677 |
| Full Name | Coppermine Chapter-dental |
|---|---|
| Speciality | Clinic/center |
| Location | 26 Miles S. Of Page On Nr-20, Page, Arizona |
| Authorized Official Name and Position | Joseph T Engelken (CEO) |
| Authorized Official Contact | 9282832501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppermine Chapter-dental Po Box 600 Base Of Operations: 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2781 | Coppermine Chapter-dental 26 Miles S. Of Page On Nr-20 Coppermine Chapter - Dental Page AZ 86040 Ph: (928) 283-2501 |
| NPI Number | 1942553920 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942553920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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