| NPI | 1376349902 |
|---|---|
| Doing Business As | PRESCOTT PEAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRYAN REEDER Owner 928-445-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |