| NPI | 1346530417 |
|---|---|
| Doing Business As | PRESCOTT MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARL C FAIRCHILD Owner Doctor 928-777-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |