NPI 1699792788
Lake Havasu City Valley Dental Associates PC
Practice location
- Address
- 1939 McCulloch Blvd N STE 2, Lake Havasu City, AZ 86403-5652
- Phone
- (928) 855-5041
- Fax
- (928) 855-2757
- Mailing address
- 1939 McCulloch Blvd #2, Lake Havasu City, AZ 86403
Authorised official
- Name
- Betty Ann Horn
- Title
- Administrative Director
- Phone
- (928) 855-5041
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1699792788
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 21 Jul 2022
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.