| NPI | 1659149730 |
|---|---|
| Doing Business As | PRESCOTT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HARRY WAYNE CHESSER Dentist 970-852-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |