Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ARIZONA HAVASU BDM PAK LLC
Active OrganizationARIZONA HAVASU BDM PAK LLC is a Dentist organization located in LAKE HAVASU, Arizona. NPI 1912301425 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKE HAVASU, AZ
Registration Details
- NPI Number
- 1912301425
- Provider Type
- Organization
- NPI Issued
- Oct 13, 2014 (11.870704370797 yrs)
- Last Updated
- May 31, 2018
Practice Information
- Address
-
1799 NORTH KIOWA BLVDUNIT 109LAKE HAVASU, AZ, 86403Browse AZ providers · Browse ZIP 86403
- Phone
- 9283997711
- Fax
- 9283997710
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.