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Contact Information

16TH STREET DENTAL CARE
1325 W 16TH ST
SUITE 4
YUMA, AZ85364-4496
 Phone: 928-782-3839
 Fax: 928-329-9029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 16TH STREET DENTAL CARE · (Female)

NPI Number 1043466782
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2008
Last updated 08/13/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # D7288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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