RUSTIC MOUNTAIN DENTISTRY

TAYLOR, AZ
NPI1063983245
Entity TypeOrganization
Authorized ContactKENNETH HOUSTON DAVIS
Doctor/Owner
928-457-0758
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
RUSTIC MOUNTAIN DENTISTRY
606 N MAIN STREET
TAYLOR, AZ 85939-8593
Phone number: 928-457-0758
Mailing Address
RUSTIC MOUNTAIN DENTISTRY
PO BOX 1550
TAYLOR, AZ 85939-1550
Phone number: 928-457-0758
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