Pineview Prescott Dental

NPI #1588322598 in Prescott, Arizona

Provider Information

NPI Number
1588322598
Entity Type
Organization
Organization Name
Pineview Prescott Dental
Subpart
Yes (part of a larger organization)
Parent Organization
PINEVIEW PRESCOTT DENTAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 7, 2021
Last Updated
Dec 7, 2021

Practice Location

Address
680 GAIL GARDNER WAY
State
Arizona
ZIP Code
86305-0001
Phone
(928) 445-9233

Authorized Official

Name
DR. KENNETH GLASS, DDS.
Title
OWNER/DOCTOR
Phone
(928) 445-9233

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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