| Pv Dentistry | |
|
8154 E Florentine Rd Ste B Prescott Valley AZ 86314-8487 | |
| (928) 772-8175 | |
| (928) 772-8351 |
| Full Name | Pv Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8154 E Florentine Rd Ste B, Prescott Valley, Arizona |
| Authorized Official Name and Position | Harold Henderson (OWNER/DENTIST) |
| Authorized Official Contact | 9287729175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pv Dentistry 8154 E Florentine Rd Ste B Prescott Valley AZ 86314-8487 Ph: (928) 772-8175 | Pv Dentistry 8154 E Florentine Rd Ste B Prescott Valley AZ 86314-8487 Ph: (928) 772-8175 |
| NPI Number | 1306350459 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306350459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9195 (Arizona) | Primary |
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