Organization · NPI-2

Affordable Dentures & Implants - Bullhead City V, P.C.

Dentist, General Practice · Bullhead City, AZ

NPI number1184338725
StatusActive
Last updated in NPPESOct 25, 2023

Details

NPI
1184338725
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Bullhead City V, P.C.
Organization subpart
No
Enumeration date
Jan 9, 2023
Certification date
Oct 25, 2023
Last updated
Oct 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

3699 Highway 95 Ste 316b
Bullhead City, AZ 86442-9123

Phone 928-704-9242

Mailing address

3699 Highway 95 Ste 316b
Bullhead City, AZ 86442-9123

Phone 928-704-9242

Authorized official

Sibera Troy Brannon
Owner
9287049242

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