| Prescott Valley Endodontic Associates, Pllc | |
|
8053 E Florentine Rd Prescott Valley AZ 86314-9423 | |
| (928) 771-1640 | |
| (928) 771-1640 |
| Full Name | Prescott Valley Endodontic Associates, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8053 E Florentine Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Jordan Ohlson (MANAGER) |
| Authorized Official Contact | 9287711640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Valley Endodontic Associates, Pllc 1658 Oaklawn Dr Prescott AZ 86305-1110 Ph: (928) 771-1640 | Prescott Valley Endodontic Associates, Pllc 8053 E Florentine Rd Prescott Valley AZ 86314-9423 Ph: (928) 771-1640 |
| NPI Number | 1639783749 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639783749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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