Little Grins
Dentist in Yuma, AZ. Organization (NPI-2).
NPI number1598095523
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1598095523
- Entity type
- Organization (NPI-2)
- Legal business name
- Little Grins
- Organization subpart
- No
- Enumeration date
- Jan 14, 2010
- Last updated
- Jan 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D5958 | AZ | Yes |
Practice location
2179 W 24th St Ste BYuma, AZ 85364-6163
Phone 928-317-9494 · Fax 928-782-2212
Mailing address
2179 W 24th St Ste BYuma, AZ 85364-6163
Phone 928-317-9494 · Fax 928-782-2212
Authorized official
Jennifer J Moseley
Dentist/Owner
9283179494
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