Rustic Mountain Dentistry
NPI #1063983245 in Taylor, Arizona
Provider Information
- NPI Number
- 1063983245
- Entity Type
- Organization
- Organization Name
- Rustic Mountain Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Dec 16, 2018
Practice Location
Authorized Official
- Name
- KENNETH HOUSTON DAVIS, DMD
- Title
- DOCTOR/OWNER
- Phone
- (928) 457-0758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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