BRADSHAW MOUNTAIN FAMILY DENTAL

PRESCOTT VALLEY, AZ
NPI1861855884
Entity TypeOrganization
Authorized ContactDAVID FRAUSTO
Owner
928-775-9495
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2016-03-29
Last Update Date2016-03-29
Business Address
BRADSHAW MOUNTAIN FAMILY DENTAL
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314-2264
Phone number: 928-775-9495
Mailing Address
BRADSHAW MOUNTAIN FAMILY DENTAL
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314-2264
Phone number: 928-775-9495