The Dental Squad, Llc | |
172 E Merritt St Ste F Prescott AZ 86301-2027 | |
(928) 443-1200 | |
(928) 445-0037 |
Full Name | The Dental Squad, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 172 E Merritt St Ste F, Prescott, Arizona |
Authorized Official Name and Position | Aaron Cyrus Haag (OWNER/DENTIST) |
Authorized Official Contact | 9284431200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Dental Squad, Llc 172 E Merritt St Ste F Prescott AZ 86301-2027 Ph: (928) 443-1200 | The Dental Squad, Llc 172 E Merritt St Ste F Prescott AZ 86301-2027 Ph: (928) 443-1200 |
NPI Number | 1548803091 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 10/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548803091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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