| NPI | 1144347501 |
|---|---|
| Doing Business As | WHITERIVER SERVICE UNIT DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARTINEZ Chief Executive Officer 928-338-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-12-27 |