| Dynamic Dentistry Az, Pllc | |
|
2450 S White Mountain Rd Ste 1 Show Low AZ 85901-7384 | |
| (928) 537-6453 | |
| Not Available |
| Full Name | Dynamic Dentistry Az, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2450 S White Mountain Rd Ste 1, Show Low, Arizona |
| Authorized Official Name and Position | Krista Farr (PRESIDENT) |
| Authorized Official Contact | 9285376453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dentistry Az, Pllc 2450 S White Mountain Rd Ste 1 Show Low AZ 85901-7384 Ph: (480) 313-3187 | Dynamic Dentistry Az, Pllc 2450 S White Mountain Rd Ste 1 Show Low AZ 85901-7384 Ph: (928) 537-6453 |
| NPI Number | 1629628029 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629628029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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