Frontier Dental Arts

NPI #1669774964 in Payson, Arizona

Provider Information

NPI Number: 1669774964
Entity Type: Organization
Organization Name: Frontier Dental Arts
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 19, 2010
Last Updated: Nov 19, 2010

Practice Location

Address: 704 S MEADOW ST
City: Payson
State: Arizona
ZIP Code: 85541-5341
Phone: (928) 474-5231

Authorized Official

Name: RYAN L DIQUATTRO, DMD
Title: OWNER
Phone: (928) 474-5231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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