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NPI 1831554930

OrganizationActive

Dental Specialists of Nw Arizona

NPI 1831554930 · Periodontics · Lake Havasu City, AZ

Provider details

NPI number: 1831554930
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Ryan Lavene, Endodontist
License: 8793 (AZ)

Practice location

2152 Mcculloch Blvd N Ste C

Lake Havasu City, AZ 86403-6805

Phone: (928) 854-5551

More AZ providers

Mailing address

2152 Mcculloch Blvd N Ste C

Lake Havasu City, AZ 86403-6805

Registry dates

Enumerated: 2015-12-16
Last updated: 2015-12-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dental Specialists of Nw Arizona — NPI 1831554930, Lake Havasu City, AZ | NPI Central