Whalio Doctors

NPI 1003007956

Aesthetic Dental Care of Arizona, P.C.

Organisation General Practice Dentistry Lake Havasu City, AZ

Practice location

Address
34 Lake Havasu Ave N Suite 5, Lake Havasu City, AZ 86403-5638
Phone
(928) 453-5577
Fax
(928) 453-1661

Authorised official

Name
Dee Dennis Moshos
Title
President
Phone
(928) 453-5577

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3216 (AZ)

Registry record

NPI
1003007956
Entity type
Organization
NPI issued
6 Aug 2007
Record last updated
6 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.