JOHN LEONARD BACON

FLAGSTAFF, AZ
NPI1427198522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  3596)
Enumeration Date2007-02-07
Last Update Date2020-04-03
Business Address
Dr. JOHN LEONARD BACON d.d.s.
323 N LEROUX ST STE 100
FLAGSTAFF, AZ 86001-4542
Phone number: 928-774-1168
Mailing Address
Dr. JOHN LEONARD BACON d.d.s.
323 N LEROUX ST STE 100
FLAGSTAFF, AZ 86001-4542
Phone number: 928-774-1168