Frontier Village Dental Care | |
1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 | |
(928) 541-1000 | |
(928) 778-2131 |
Full Name | Frontier Village Dental Care |
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Speciality | Dentist - General Practice |
Location | 1781 E State Route 69, Prescott, Arizona |
Authorized Official Name and Position | Jane Kathleen Lambertus (OWNER) |
Authorized Official Contact | 9285411000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Frontier Village Dental Care 1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 Ph: (928) 541-1000 | Frontier Village Dental Care 1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 Ph: (928) 541-1000 |
NPI Number | 1134283187 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134283187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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