NPI 1588942494

Desirae Dental Services, PLLC

Organisation Dental Assistant Lake Havasu City, AZ

Practice location

Address: 2872 Jamaica Blvd S, Lake Havasu City, AZ 86406-7707
Phone: (928) 680-7645
Fax: (928) 680-9466

Authorised official

Name: Sterling Decker
Title: President
Phone: (928) 814-6670

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1588942494
Entity type: Organization
NPI issued: 26 Jul 2011
Record last updated: 26 Jul 2011

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.