| NPI | 1649432121 |
|---|---|
| Doing Business As | FT YUMA INDIAN HEALTH CENTER - DENTAL |
| Entity Type | Organization |
| Authorized Contact | CINDY S BALDWIN Chief Executive Office 760-572-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-04-20 |