Blue Ridge Family Dentistry, PC

NPI #1366914012 in Pinetop, Arizona

Provider Information

NPI Number
1366914012
Entity Type
Organization
Organization Name
Blue Ridge Family Dentistry, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 19, 2018
Last Updated
Dec 19, 2018

Practice Location

Address
1450 E WHITE MOUNTAIN BLVD STE A
State
Arizona
ZIP Code
85935-7091
Phone
(928) 367-4466

Authorized Official

Name
DR. JONATHAN HANRIDGE, DDS
Title
PRESIDENT, BRFD, PC
Phone
(928) 367-4466

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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