Distinctive Dental Care | |
1000 Willow Creek Rd Suite H Prescott AZ 86301-1645 | |
(928) 445-3181 | |
(928) 445-5797 |
Full Name | Distinctive Dental Care |
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Speciality | Clinic/center - Dental |
Location | 1000 Willow Creek Rd, Prescott, Arizona |
Authorized Official Name and Position | Paul Juan Wulff (OWNER) |
Authorized Official Contact | 9284453181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Distinctive Dental Care 1000 Willow Creek Rd Suite H Prescott AZ 86301-1645 Ph: (928) 445-3181 | Distinctive Dental Care 1000 Willow Creek Rd Suite H Prescott AZ 86301-1645 Ph: (928) 445-3181 |
NPI Number | 1043471493 |
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Provider Enumeration Date | 06/18/2008 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043471493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D3674 (Arizona) | Primary |
Prescott Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Whipple St, Prescott, AZ 86301 Phone: 928-445-1660 Fax: 928-771-8169 | |
Horizon Dental Pdc Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 7, Prescott, AZ 86305 Phone: 928-641-4000 Fax: 928-285-5835 | |
My Kids' Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Clearwater Dr, Prescott, AZ 86305 Phone: 928-445-5959 Fax: 928-445-5989 | |
Horizon Dental Group Prescott, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl, Prescott, AZ 86305 Phone: 928-925-6522 Fax: 928-636-1164 | |
Hicks Dental Group, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Whipple St, Prescott, AZ 86301 Phone: 928-445-6030 Fax: 928-445-6030 | |
Frontier Village Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1781 E State Route 69, Ste 9, Prescott, AZ 86301 Phone: 928-541-1000 Fax: 928-778-2131 |