| Old Town General Dentistry & Denture Lab | |
|
542 N Main St Cottonwood AZ 86326-3896 | |
| (928) 634-8567 | |
| Not Available |
| Full Name | Old Town General Dentistry & Denture Lab |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 542 N Main St, Cottonwood, Arizona |
| Authorized Official Name and Position | Jeffrey C Blair (DENTIST/MEMBER) |
| Authorized Official Contact | 9286348567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town General Dentistry & Denture Lab 542 N Main St Cottonwood AZ 86326-3896 Ph: (928) 634-8567 | Old Town General Dentistry & Denture Lab 542 N Main St Cottonwood AZ 86326-3896 Ph: (928) 634-8567 |
| NPI Number | 1942672118 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942672118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4038 (Arizona) | Primary |
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