PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC

PRESCOTT, AZ
NPI1891244281
Entity TypeOrganization
Authorized ContactRICHARD CHARLES JIRSA
Periodontist
928-778-2340
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2016-09-26
Last Update Date2016-09-26
Business Address
PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC
1229 WILLOW CREEK RD
PRESCOTT, AZ 86301-1427
Phone number: 928-778-2340
Mailing Address
PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC
1229 WILLOW CREEK RD
PRESCOTT, AZ 86301-1427
Phone number: 928-778-2340
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