| Prescott Valley Pdc Pllc | |
|
7890 E Florentine Rd Prescott Valley AZ 86314-1204 | |
| (928) 772-9860 | |
| Not Available |
| Full Name | Prescott Valley Pdc Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7890 E Florentine Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Mark Christensen (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8013053460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Valley Pdc Pllc 355 S 520 W Ste 250 Lindon UT 84042-1976 Ph: () - | Prescott Valley Pdc Pllc 7890 E Florentine Rd Prescott Valley AZ 86314-1204 Ph: (928) 772-9860 |
| NPI Number | 1720827652 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720827652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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