Prescott Valley Dental Group, LLP

NPI #1932518404 in Prescott Valley, Arizona

Provider Information

NPI Number: 1932518404
Entity Type: Organization
Organization Name: Prescott Valley Dental Group, LLP
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2014
Last Updated: Jun 14, 2022

Practice Location

Address: 3264 GLASSFORD HILL ROAD, STE. A
City: Prescott Valley
State: Arizona
ZIP Code: 86314
Phone: (928) 759-8000

Authorized Official

Name: DR. DARREN L LINE, DDS
Title: OWNER
Phone: (928) 759-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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