LYDIA PURVIS WINTERS

FORT DEFIANCE, AZ
NPI1063675312
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  6265)
Additional Taxonomies122300000X Dentist
(Licence: MT  2300)
Enumeration Date2008-07-08
Last Update Date2011-07-25
Business Address
Dr. LYDIA PURVIS WINTERS DMD
CORNER OF ROUTE N12 AND N7 FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
Dr. LYDIA PURVIS WINTERS DMD
PO BOX #649 FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000