DR. Richard C. Jirsa, DDS

NPI #1093775488 in Prescott, Arizona

Provider Information

NPI Number: 1093775488
Entity Type: Individual
Name: DR. Richard C. Jirsa, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Mar 28, 2006
Last Updated: Feb 25, 2009

Practice Location

Address: 1229 WILLOW CREEK RD
City: Prescott
State: Arizona
ZIP Code: 86301-1427
Phone: (928) 778-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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