The Dental Squad, LLC

NPI #1548803091 in Prescott, Arizona

Provider Information

NPI Number: 1548803091
Entity Type: Organization
Organization Name: The Dental Squad, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 28, 2019
Last Updated: Oct 28, 2019

Practice Location

Address: 172 E MERRITT ST STE F
City: Prescott
State: Arizona
ZIP Code: 86301-2027
Phone: (928) 443-1200

Authorized Official

Name: AARON CYRUS HAAG, DDS
Title: OWNER/DENTIST
Phone: (928) 443-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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