BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC

PRESCOTT VALLEY, AZ
NPI1972773141
Entity TypeOrganization
Authorized ContactDAVID FRAUSTO
President
928-775-9495
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: AZ  D5639)
Enumeration Date2008-03-04
Last Update Date2008-03-04
Business Address
BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314-2264
Phone number: 928-775-9495
Mailing Address
BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314-2264
Phone number: 928-775-9495
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