DEXTER P INNISS

FORT DEFIANCE, AZ
NPI1629146469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  dn012791)
Enumeration Date2006-12-01
Last Update Date2025-03-05
Business Address
Dr. DEXTER P INNISS d.m.d
CORNER OF RT N12 AND N7
FORT DEFIANCE, AZ 86504-0649
Phone number: 770-760-7566
Mailing Address
Dr. DEXTER P INNISS d.m.d
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000