| NPI | 1619933603 |
|---|---|
| Former Legal Business Name | PRESCOTT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES C SPURGEON Dentist President 928-445-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ AZ5571) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |