NPI 1396198263

Lake Havasu Dentistry

Organisation General Practice Dentistry Lake Havasu City, AZ

Practice location

Address: 1971 McCulloch Blvd N #100, Lake Havasu City, AZ 86403-6117
Phone: (928) 733-6070
Fax: (928) 733-6075

Authorised official

Name: Laura Vaughn
Title: Manager
Phone: (928) 733-6070

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1396198263
Entity type: Organization
NPI issued: 15 Jul 2016
Record last updated: 15 Jul 2016

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.