Aesthetic Dental Care of Arizona, P.C.
Organization Active NPI General Practice Dentistry · Lake Havasu City, AZ
NPI 1003007956 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1003007956
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3216 (AZ)
- Legal business name
- AESTHETIC DENTAL CARE OF ARIZONA, P.C.
- Practice address
- 34 Lake Havasu Ave N
Suite 5
Lake Havasu City, AZ 86403-5638 - Phone
- (928) 453-5577
- Fax
- (928) 453-1661
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Dee Dennis Moshos, D.D.S.
- Title
- President
- Phone
- (928) 453-5577
Practitioners 1
-
Dee Dennis Moshos Sr., D.D.S.
National Provider Directory
Locations
34 Lake Havasu Ave N
Ste 5
Lake Havasu City, AZ 86403
Phone (928) 453-5577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3216 | AZ | Yes |
Addresses
Primary practice location
34 Lake Havasu Ave N
Suite 5
Lake Havasu City, AZ 86403-5638
Mailing address
34 Lake Havasu Ave N
Suite 5
Lake Havasu City, AZ 86403-5638
Phone (928) 453-5577
Other providers in Lake Havasu City, AZ
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- Allison Adams
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- Agave Physical Therapy LLC
- Roberto Aguayo
- Sonia Monique Aguilar
- Rosylene Cariaga Agustin
- Zane Ahmed
All providers in Lake Havasu City, AZ · General Practice Dentistry in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.