Prescott Modern Dentistry, LLP
NPI #1346530417 in Irvine, California
Provider Information
- NPI Number
- 1346530417
- Entity Type
- Organization
- Organization Name
- Prescott Modern Dentistry, LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 11, 2011
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 2860 MICHELLE FL 2
- City
- Irvine
- State
- California
- ZIP Code
- 92606-1008
- Phone
- (714) 368-2077
Authorized Official
- Name
- DR. CARL C FAIRCHILD, DDS
- Title
- OWNER DOCTOR
- Phone
- (928) 777-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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